Individual
MS. JOSEPHINE A BANIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF PULMONARY MEDICINE, WORCESTER, MA 01605-2903
(508) 334-6477
(508) 334-5416
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322610
—
MA
Enumeration date
02/14/2006
Last updated
03/04/2009
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