Individual provider · Type 1 NPI

Michael McGonnigle

Student in an Organized Health Care Education/Training Program · Manchester, CT

NPI number 1558208017 Active

Practice location

71 Haynes St
Manchester, CT 06040-4188

Call (860) 533-4679 Map

Fax (860) 645-4151

Mailing address

38 Lordship Rd
Stratford, CT 06615-7820

Other practice locations

  • 130 Hartford Rd, Manchester, CT 06040-5921 · (860) 533-4679

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558208017

Michael McGonnigle's National Provider Identifier is 1558208017, issued on May 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on May 1, 2026.