National Provider Identifier Database

THERESA Y MANGUAL MD
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

THERESA Y MANGUAL MD
428 HARTFORD TPK
VERNON, CT06066
Phone: 860-871-7374
Fax: 860-870-8686
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for THERESA Y MANGUAL MD

NPI Number 1649474024
Legal business name
LBN
THERESA Y MANGUAL MD
Authorized official THERESA MANGUAL - (M.D. OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/12/2007
Last updated 10/20/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 028553

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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