ITISHA BANSAL

BRIDGEPORT, CT
NPI1598185175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  291299)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-22
Last Update Date2018-09-04
Business Address
-- ITISHA BANSAL
2800 MAIN ST GME OFFICE
BRIDGEPORT, CT 06606
Phone number: 203-576-5425
Mailing Address
-- ITISHA BANSAL
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3153