Individual
STEPHANIE BANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4747
(504) 842-1242
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 891-7500
(305) 985-6233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328358
LA
207R00000X
Internal Medicine Physician
ME136888
FL
Other
Enumeration date
04/01/2015
Last updated
07/11/2022
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