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1639823123
BALAMURUGAN PONNURAJ
BRIDGEPORT, CT
NPI
1639823123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 9832)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
BALAMURUGAN PONNURAJ MSN, FNP-BC
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6000
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Mailing Address
BALAMURUGAN PONNURAJ MSN, FNP-BC
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
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