Individual
THOMAS V MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 GRAND STREET, THE HOPSITAL OF CENTRAL CONENCTICUT, NEW BRITAIN, CT 06060
(860) 224-5675
(860) 224-5774
Mailing address
100 GRAND STREET, THE HOPSITAL OF CENTRAL CONENCTICUT, NEW BRITAIN, CT 06060
(860) 224-5675
(860) 224-5774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002164
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002164
LICENSE
CT
Enumeration date
10/08/2008
Last updated
04/01/2013
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