Individual provider · Type 1 NPI

Marieange Panossian, DDS MD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1306044037 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2200 Map

Mailing address

5240 Merrick Rd, Ste 1
Massapequa, NY 11758-6207

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306044037

Marieange Panossian, DDS MD's National Provider Identifier is 1306044037, issued on Jul 3, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Apr 15, 2016.