Individual provider · Type 1 NPI
Tageldin Banaga
Driver · Bridgeport, CT
NPI number
1689157471
Active
Practice location
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 017671860 (CT) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Bridgeport
About NPI 1689157471
Tageldin Banaga's National Provider Identifier is 1689157471, issued on Sep 8, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 8, 2018.