Theresa Y Mangual MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

028553 Issued in CT

Legal business name

THERESA Y MANGUAL MD

Practice address

428 Hartford TPK
Vernon, CT 06066

Phone

(860) 871-7374

Fax

(860) 870-8686

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Y Mangual, M.D.

Title

M.D. Owner

Phone

(860) 871-7374

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1649474024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HARTFORD TURNPIKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664841",
            "telephone_number": "860-871-7374",
            "fax_number": "860-870-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HARTFORD TPK",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-871-7374",
            "fax_number": "860-870-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA Y MANGUAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "MANGUAL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "M.D.  OWNER",
        "authorized_official_telephone_number": "860-871-7374",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "028553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Szafir
• Melissa Ann Szczycinski, LCSW
• Lisa Talati, DO
• Bruce Jay Tandy, D.M.D
• Tynisha Teal, MSW
• Andrea M. Thoman, CPNP, APRN
• Eric Michael Thompson, DPM
• Andrew M Toce, LPC
• Dennis Tomczak
• Total Renal Care Inc

• Specialist in Vernon, CT
• Providers in Vernon, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.