Individual
MR. TED UBINA PAGULAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, APHN-BC
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06340-2324
(860) 694-7512
Mailing address
330 CRYSTAL AVE, UNIT # 5, NEW LONDON, CT 06320-6500
(703) 618-0689
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
0001169726
VA
363LF0000X
Family Nurse Practitioner
Primary
30297876
DC
Other
Enumeration date
01/19/2006
Last updated
10/17/2011
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