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Assan Glenn

NPI 1871372755 · on the registry since 2023 · sole proprietor

Practice

Address
51 Waterman St
Bridgeport, CT 06607
Phone
(203) 829-2566

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut