Fatu Bangura

NPI #1912572934 in Irvington, New Jersey

Provider Information

NPI Number: 1912572934
Entity Type: Individual
Name: Fatu Bangura
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 65-67 MELVILLE PLACE
City: Irvington
State: New Jersey
ZIP Code: 07111
Phone: (862) 777-3526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Supports Brokerage	251X00000X
Point of Service	305S00000X

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