Organization
THERESA Y MANGUAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA Y MANGUAL M.D. (M.D. OWNER)
(860) 871-7374
Entity
Organization
Contact information
Practice address
428 HARTFORD TPK, VERNON, CT 06066
(860) 871-7374
(860) 870-8686
Mailing address
428 HARTFORD TURNPIKE, VERNON, CT 06066-4841
(860) 871-7374
(860) 870-8686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
028553
CT
Other
Enumeration date
06/12/2007
Last updated
10/20/2011
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