MEDICARE: PATRICIA OFGANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F330830-1	NY

General Provider Information

NPI Number	:	1386773034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA OFGANG

Provider Business Mailing Address
First Line	:	57 NORTH ST
Second Line	:	STE 323
City	:	DANBURY
State	:	CT
Zip	:	06810-5628
Country	:	US
Telephone Number	:	203-798-0533
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 NORTH ST
Second Line	:	STE 323
City	:	DANBURY
State	:	CT
Zip	:	06810-5628
Country	:	US
Telephone Number	:	203-798-0533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	10/28/2019

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Directions to “ PATRICIA OFGANG ” Practice Location

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