Richard John Manganiello M.D.

NPI 1003881764 - Ophthalmology - 207W00000X

NPI Details
NPI 1003881764
Gender Male
Enumeration Date 02/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
479 BUCKLAND RD
SOUTH WINDSOR CT, 06074-3739, US
Phone (860) 644-5011
Fax (860) 644-4833
Business Location
479 BUCKLAND RD
SOUTH WINDSOR CT, 06074-3739, US
Phone (860) 644-5011
Fax (860) 644-4833
Toxanomy
Taxonomy Code 207W00000X
License State Connecticut
License Number 035387
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According to our database, Dr. Richard John Manganiello M.D. NPI is 1003881764, taxonomy code is 207W00000X and license number is 035387, license state is located at Connecticut. Richard John Manganiello M.D. physically located at 479 Buckland Rd, South Windsor CT, 06074-3739. NPI Number Richard John Manganiello M.D. has the Individual type.

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1003881764 NPI number is provided on an as is basis without warranty of any kind. 1003881764 is maintained by the National Plan & Provider Enumeration System. The contents of Richard John Manganiello M.D. are for informational purposes only.