Doctor Name: | MICHAEL L SGANGA |
NPI Number: | 1215370093 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 1308 |
Business Practice Address: | 313 Speen St South 2-department Of Surgery Natick, MA - 017601538 |
Business Phone Number: | 5086550471 |
Business Fax Number: | |
Mailing Address: | 313 Speen St, South 2-department Of Surgery NATICK |
State: | MA |
Postal Code: | 017601538 |
Phone Number: | 5086550471 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 1308 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |