Tangarorang, Glendo
Tangarorang, Glendo is an individual health care provider with primary practice located at 85 Seymour St Suite 902, Hartford CT 06106-5501. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tangarorang, Glendo can be contacted via phone (860) 244-0148.Contact Information
Primary practice address
85 Seymour St Suite 902
Hartford CT 06106-5501
Phone: (860) 244-0148
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 039159 | Connecticut |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 039159 | Connecticut |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 039159 | Connecticut |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 039159 | Connecticut |
Profile Details
NPI number | 1134101306 |
---|---|
LBN Legal business name | Tangarorang, Glendo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Jul 3rd, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134101306 | NPPES |
Connecticut | MEDICAID | 001391599 |
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