Mangano, Thomas V

Mangano, Thomas V is an individual health care provider with primary practice located at 100 Grand Street The Hopsital Of Central Conencticut, New Britain CT 06060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mangano, Thomas V can be contacted via phone (860) 224-5675.

Contact Information

Primary practice address
100 Grand Street The Hopsital Of Central Conencticut New Britain CT 06060
Phone: (860) 224-5675
Fax: (860) 224-5774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002164 Connecticut

Profile Details

NPI number 1134370117
LBN Legal business name Mangano, Thomas V
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Apr 1st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134370117 NPPES
Connecticut Other 002164 LICENSE

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