Tageldin Banaga
NPI #1689157471 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1689157471
- Entity Type
- Individual
- Name
- Tageldin Banaga
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Enumeration Date
- Sep 8, 2018
- Last Updated
- Sep 8, 2018
Practice Location
- Address
- 1333 E MAIN ST APT 5
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06608-1400
- Phone
- (203) 543-3819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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