Organization
CONNECTICUT EYE PHYSICIANS AND SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J MANGANIELLO M.D. (OWNER;/PROVIDER)
(860) 644-5011
Entity
Organization
Contact information
Practice address
479 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3739
(860) 644-5011
(860) 644-4833
Mailing address
479 BUCKLAND RD STE A, SOUTH WINDSOR, CT 06074-3739
(860) 644-5011
(860) 644-4833
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001353870
—
CT
Enumeration date
08/27/2007
Last updated
11/25/2024
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