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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: August 16, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.