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Contact Information

FATU BANGURA
65-67 MELVILLE PLACE
IRVINGTON, NJ07111
 Phone: 862-777-3526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Point of Service

305S00000X
 

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for FATU BANGURA · (Female)

NPI Number 1912572934
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2021
Last updated 05/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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