EDWARD BANGOR

CAMP LEJEUNE, NC
NPI1306852165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA002330L)
Enumeration Date2006-08-01
Last Update Date2016-11-08
Business Address
-- EDWARD BANGOR PA
180 HOSPITAL CORPS BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547-2538
Phone number: 610-449-1100
Mailing Address
-- EDWARD BANGOR PA
180 HOSPITAL CORPS BLVD NAVAL HOSPITAL / INTREPID SPIRIT
CAMP LEJEUNE, NC 28547-2538
Phone number: 610-449-1100
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