Individual
DR. RICHARD JOHN MANGANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005955242
AETNA
CT
01
—
010035387CT01
BLUE CROSS
CT
01
—
035387
CONNECTICARE
CT
05
—
4216629
—
CT
01
—
OV8008
HEALTHNET
CT
01
—
P405022
OXFORD
CT
Enumeration date
02/17/2006
Last updated
07/08/2007
Update your record
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