Samuel Allado Bangug, MD Valid NPI

Individual provider · Pediatrics Physician · Jamaica, NY

NPI

1255420345

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

235683 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-12

Last updated

2007-07-08