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Contact Information

THERESA Y MANGUAL MD
428 HARTFORD TPK
VERNON, CT06066
 Phone: 860-871-7374
 Fax: 860-870-8686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THERESA Y MANGUAL MD · (Female)

NPI Number 1649474024
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2007
Last updated 10/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 028553
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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