Individual
MIRIAM LAGUNAS-FITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5242
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
56353
CT
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56353
CT LIC
CT
Enumeration date
04/23/2007
Last updated
11/18/2020
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