DAISY BANG

HAMDEN, CT
NPI1356579460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: CT  54070)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  195213)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-06-26
Last Update Date2015-07-06
Business Address
-- DAISY BANG
3018 DIXWELL AVE
HAMDEN, CT 06518-3508
Phone number: 203-281-5910
Mailing Address
-- DAISY BANG
3018 DIXWELL AVE
HAMDEN, CT 06518-3508
Phone number: 203-281-5910