Healthcare Provider Details

I. General information

NPI: 1235033218
Provider Name (Legal Business Name): DARRIN DANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 BOSTON AVE
BRIDGEPORT CT
06610-3030
US

IV. Provider business mailing address

109 DEAN PL
BRIDGEPORT CT
06610-1638
US

V. Phone/Fax

Practice location:
  • Phone: 203-212-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number072724
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0015977
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: