Vanie Mangal
Physician Assistant in Stamford, CT. Individual provider (NPI-1).
NPI number1376901256
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1376901256
- Entity type
- Individual (NPI-1)
- Name
- Vanie Mangal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2016
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
30 Shelburne RdStamford, CT 06902-3628
Phone 203-276-1000
Mailing address
30 Shelburne RdStamford, CT 06902-3628
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