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1720711450
MARK CINQUEGRANA
BRIDGEPORT, CT
NPI
1720711450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CT 12.010731)
Enumeration Date
2022-07-09
Last Update Date
2022-07-09
Business Address
MARK CINQUEGRANA
2800 MAIN ST
BRIDGEPORT, CT 06606-4292
Phone number: 203-576-6000
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Mailing Address
MARK CINQUEGRANA
11 OX HILL RD
NEWTOWN, CT 06470-2431
Phone number: 203-733-6610
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