Provider Demographics
NPI:1942823455
Name:D & G TRANSPORTATION
Entity Type:Organization
Organization Name:D & G TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGURA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:774-578-3749
Mailing Address - Street 1:11 MALDEN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1280
Mailing Address - Country:US
Mailing Address - Phone:774-578-3749
Mailing Address - Fax:
Practice Address - Street 1:11 MALDEN ST APT 1
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-1280
Practice Address - Country:US
Practice Address - Phone:774-578-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty