Provider Demographics
NPI:1467607283
Name:BARGINEAR, MYRA FRANCES
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:FRANCES
Last Name:BARGINEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MANITOU RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6008
Mailing Address - Country:US
Mailing Address - Phone:203-293-4208
Mailing Address - Fax:
Practice Address - Street 1:15 MANITOU RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-6008
Practice Address - Country:US
Practice Address - Phone:203-293-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237364207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology