Individual
RICHARD MANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 WASHINGTON AVE, HAMDEN, CT 06518-3267
(203) 248-3049
Mailing address
9 WASHINGTON AVE, 2ND FLOOR, HAMDEN, CT 06518-3267
(203) 248-3013
(203) 248-2878
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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