Individual
MR. RYAN JAY REMO TEOPENGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
111 SALEM TPKE, NORWICH, CT 06360-7403
(860) 886-0023
Mailing address
198 GREAT BROOK RD, GROTON, CT 06340-7701
(717) 329-3591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12118
CT
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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