# CONNECTICUT MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366504227
- **Authorized official:** DR. RICHARD MANGI M.D. (PRESIDENT)
- **Authorized official phone:** (203) 248-3013

## Contact information

- **Practice address:** 2989 DIXWELL AVE, HAMDEN, CT 06518-3501
- **Practice address phone:** (203) 248-3013
- **Practice address fax:** (203) 248-2878
- **Mailing address:** 2989 DIXWELL AVE, HAMDEN, CT 06518-3501
- **Mailing address phone:** (203) 248-3013
- **Mailing address fax:** (203) 248-2878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 09/11/2025