Individual
MARK CINQUEGRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
11 OX HILL RD, NEWTOWN, CT 06470-2431
(203) 733-6610
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12.010731
CT
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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