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Individual

RICHARD MANGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
014693
CT
207RR0500X
Rheumatology Physician
014693
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010014693CT01
BLUE CROSS BLUE SHIELD
CT
01
014693
CONNECTICARE
CT
01
0Q2052
HEALTH NET
CT
01
2047700
AETNA
CT
01
440002123
RAILROAD MEDICARE
CT
01
NHS097
OXFORD
CT
Enumeration date
07/19/2005
Last updated
10/17/2011
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