NPI 1003881764

Richard John Manganiello, MD

Practitioner Ophthalmology Physician South Windsor, CT

Practice location

Address: 479 Buckland Rd, South Windsor, CT 06074-3739
Phone: (860) 644-5011
Fax: (860) 644-4833

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 035387 (CT)

Other Ophthalmology providers in Connecticut →

Registry record

NPI: 1003881764
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.