NPI 1306595244

Reginal Predestin, OWNER

Practitioner Contractor Bridgeport, CT

Practice location

Address: 250 N Bishop Ave APT 2, Bridgeport, CT 06610-2455
Phone: (203) 572-6065

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Connecticut →

Registry record

NPI: 1306595244
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2022
Record last updated: 19 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.