Individual
RAFAELA M MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 ORCHARD ST STE 164, NEW HAVEN, CT 06511
(203) 785-2815
Mailing address
15 AVALON DR UNIT 1113, MILFORD, CT 06460-8509
(203) 623-7772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2932
CT
Other
Enumeration date
07/18/2013
Last updated
06/18/2018
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