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Organization

CONNECTICUT MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD MANGI M.D. (PRESIDENT)
(203) 248-3013
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
12/15/2006
Last updated
09/11/2025
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