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THERESA Y MANGUAL MD
NPI 1649474024
Specialist in Vernon, CT

Active since June 12, 2007
428 HARTFORD TPK, VERNON, CT 06066(860) 871-7374(860) 870-8686 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Y Mangual Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA Y MANGUAL MD (NPI 1649474024) is a healthcare organization registered as a specialist in Vernon, Connecticut and active in the NPI registry since June 2007. The organization lists Theresa Y Mangual, M.d. Owner, as its authorized official.

NPPES Registry Identity

NPI1649474024
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHERESA Y MANGUAL MD
Location Address428 HARTFORD TPKVernon, CT 06066
Mailing Address428 Hartford TurnpikeVernon, CT 06066-4841 · (860) 871-7374 · Fax (860) 870-8686
Phone(860) 871-7374
Fax(860) 870-8686
Organization SubpartNo
Authorized OfficialTheresa Y MangualM.d. Owner · (860) 871-7374
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 20, 2011
✔ NPI 1649474024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 028553
Definition
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.
428 HARTFORD TPK, Vernon, CT 06066
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Other Identifiers 1

Medicare ID-Type Unspecified160001153CT · Provider I.d. Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Y Mangual MD's NPI number?

The NPI number for Theresa Y Mangual MD is 1649474024. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Theresa Y Mangual MD located?

Theresa Y Mangual MD is located at 428 Hartford Tpk, Vernon, CT 06066. The listed phone number is (860) 871-7374.

What is Theresa Y Mangual MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theresa Y Mangual MD was last updated on October 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.