DR. Richard John Manganiello, M.D.

NPI #1003881764 in South Windsor, Connecticut

Provider Information

NPI Number: 1003881764
Entity Type: Individual
Name: DR. Richard John Manganiello, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Feb 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 479 BUCKLAND RD
City: South Windsor
State: Connecticut
ZIP Code: 06074-3739
Phone: (860) 644-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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