Individual
VANIE MANGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-1000
Mailing address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
06/07/2023
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