Organization · Type 2 NPI
Theresa Y Mangual MD
Specialist · Vernon, CT
NPI number
1649474024
Active
Practice location
428 Hartford Tpk
Vernon, CT 06066
Fax (860) 870-8686
Mailing address
428 Hartford Turnpike
Vernon, CT 06066-4841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 028553 (CT) |
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.
Other specialist providers in Vernon
About NPI 1649474024
Theresa Y Mangual MD's National Provider Identifier is 1649474024, issued on Jun 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vernon, CT. The record was last updated on Oct 20, 2011.