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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134101306 NPPES
Connecticut MEDICAID 001391599

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