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MRS. KATHERINE MARIE BANGS PA-C

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

Provider NPI: 1528311339

Provider Information:
MRS. KATHERINE MARIE BANGS PA-C
Gender: F
Not Sole Proprietor

Practice Location:
82 NEW PARK AVE  NORTH FRANKLIN, CT 06254-1807 US
Tel: 860-889-7345  Fax: 860-885-7228

Business Mailing Address:
82 NEW PARK AVE  NORTH FRANKLIN, CT 06254-1807 US
Tel: 860-885-7223  Fax: 860-885-7228

NPI Information:
NPI: 1528311339
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
CT002811

Other Provider Identifiers:

IssuerNumberStateType
LICENSE002811CT01



American Medical Association 2012 taxonomy code information

Code: 363AS0400X

Type:

Classification:



Definition:



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