Ponnuraj, Balamurugan
Ponnuraj, Balamurugan is an individual health care provider with primary practice located at 968 Fairfield Ave , Bridgeport CT 06605-1116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ponnuraj, Balamurugan can be contacted via phone (203) 330-6000.Contact Information
Primary practice address
968 Fairfield Ave
Bridgeport CT 06605-1116
Phone: (203) 330-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9832 | Connecticut |
Profile Details
| NPI number | 1639823123 |
|---|---|
| LBN Legal business name | Ponnuraj, Balamurugan |
| Credentials | MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2022 |
| Last updated | Feb 4th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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