| NPI | 1760675409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J MANGANIELLO Owner;/Provider 860-644-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 035387) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2010-07-01 |