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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

NPI Number 1649474024
LBN Legal business name THERESA Y MANGUAL MD
Authorized official THERESA MANGUAL - (M.D. OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2007
Last updated 10/20/2011 - About 15 years ago
Identifiers
CT License # 028553
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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