Individual
DR. GLENDO TANGARORANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 902, HARTFORD, CT 06106-5501
(860) 244-0148
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039159
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
039159
CT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
039159
CT
208M00000X
Hospitalist Physician
039159
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391599
—
CT
Enumeration date
11/15/2005
Last updated
07/03/2014
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