Individual provider · Type 1 NPI

Devon Margaret Mangin, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1669993879 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

1275 York Ave
New York, NY 10065-6007

Other practice locations

  • 1275 York Ave, New York, NY 10065-6007 · (212) 639-2000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3919 (CT)
Physician Assistant 363A00000XNone listed

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About NPI 1669993879

Devon Margaret Mangin, PA-C's National Provider Identifier is 1669993879, issued on Jun 28, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Dec 30, 2019.