Dr. Richard John Manganiello
Ophthalmologist
479 Buckland Rd
South Windsor
, Connecticut 06074-3739
Dr. Richard John Manganiello
Ophthalmologist
479 Buckland Rd
South Windsor
, Connecticut 06074-3739
(860) 644-4833
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Richard John Manganiello
- 479 Buckland Rd
- South Windsor, CT
- Zip : 06074-3739
- Fax : (860) 644-4833
- Phone : (860) 644-5011
Second Address
- Dr. Richard John Manganiello
- 479 Buckland Rd
- South Windsor, CT
- Zip : 06074-3739
- Fax : (860) 644-4833
- Phone : (860) 644-5011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 035387 | CT |
National Provider Identifier
| NPI | 1003881764 |
|---|---|
| Provider Name | Dr. Richard John Manganiello |
| First Address | South Windsor, CT 06074-3739 |
| Second Address | South Windsor, CT 06074-3739 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0005955242 | AETNA (01) | CT |
| 010035387CT01 | BLUE CROSS (01) | CT |
| 035387 | CONNECTICARE (01) | CT |
| 4216629 | (05) | CT |
| G27130 | (02) | CT |
| OV8008 | HEALTHNET (01) | CT |
| P405022 | OXFORD (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.