Individual
MEA PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
2600 PARK AVE UNIT 10S, BRIDGEPORT, CT 06604-1305
(860) 897-6428
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
197670
CT
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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