Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FATU BANGURA
Active Sole ProprietorFATU BANGURA is a Contractor healthcare provider located in IRVINGTON, New Jersey. NPI 1912572934 is currently active in the NPPES registry. Verify at CMS.
Contractor · IRVINGTON, NJ
Registration Details
- NPI Number
- 1912572934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2021 (5.2318923681852 yrs)
- Last Updated
- May 21, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
65-67 MELVILLE PLACEIRVINGTON, NJ, 07111Browse NJ providers · Browse ZIP 07111
- Phone
- 8627773526
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Supports Brokerage Agency
- Additional Specialty
- Point of Service
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.