Richard John Manganiello in South Windsor - Ophthalmology
Richard John Manganiello - NPI 1003881764
Richard John Manganiello is a Ophthalmology in South Windsor, Connecticut. Richard John Manganiello practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Richard John Manganiello is 1003881764. The last update date is 2007-07-08.
Richard John Manganiello's current location address is 479 Buckland Rd, South Windsor, Connecticut. You can contact this provider via phone number 8606445011 and fax number 8606444833. The mailing address for Richard John Manganiello is 479 Buckland Rd, South Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard John Manganiello |
|---|---|
| Address | 479 Buckland Rd, South Windsor, Connecticut |
| Phone Number | 8606445011 |
| Fax Number | 8606444833 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003881764 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 479 Buckland Rd |
|---|---|
| City | South Windsor |
| State | Connecticut (CT) |
| Post Code | 60743739 |
| Phone Number | 8606445011 |
| Fax Number | 8606444833 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 35387 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010035387CT01 | CT | BLUE CROSS | |
| 35387 | CT | CONNECTICARE | |
| 5955242 | CT | AETNA | |
| P405022 | CT | OXFORD | |
| 4216629 | CT | -- | |
| OV8008 | CT | HEALTHNET |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard John Manganiello?
The Richard John Manganiello has been issued the NPI (National Provider Identifier) 1003881764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard John Manganiello is geographically located?
The Richard John Manganiello is physically situated at the following location: 479 Buckland Rd, South Windsor, CT, 60743739.
What is Richard John Manganiello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard John Manganiello is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date did the Richard John Manganiello receive its 1003881764 assignment from the Centers for Medicare & Medicaid Services?
The Richard John Manganiello was assigned its 1003881764 by the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the Richard John Manganiello's details last updated?
The information pertaining to the Richard John Manganiello, including its address, specialty, and other details, was most recently updated on 2007-07-08.