Individual
DR. MARIEANGE PANOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2200
Mailing address
5240 MERRICK RD, STE 1, MASSAPEQUA, NY 11758-6207
(310) 702-5145
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
07/03/2007
Last updated
04/15/2016
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