TAGELDIN BANAGA

Driver

Active Individual
NPI: 1689157471

Practice Address

1333 E MAIN ST APT 5
Bridgeport, CT 06608

Phone: (203) 543-3819

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 017671860 (CT)

Frequently Asked Questions

NPI 1689157471 is the National Provider Identifier for TAGELDIN BANAGA, a Driver provider located in Bridgeport, CT. This NPI was enumerated on September 8, 2018.
TAGELDIN BANAGA practices at 1333 E MAIN ST APT 5, Bridgeport, CT 06608.

Quick Facts

NPI
1689157471
Type
Individual
Enumerated
Sep 8, 2018
Last Updated
Sep 8, 2018

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