Individual
THOMAS PATRICK MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
119 DAGGETT DRIVE, WEST SPRINGFIELD, MA 01089
(413) 747-5527
(413) 523-4445
Mailing address
119 DAGGETT DRIVE, WEST SPRINGFIELD, MA 01089
(413) 747-5527
(413) 523-4445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3442
MA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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