BASTION MEDICAL PRACTICE OF NEW JERSEY PC

FARMINGTON, CT
NPI1598529802
Entity TypeOrganization
Authorized ContactVASANTH KAINKARYAM
President
786-220-0003
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Enumeration Date2024-02-07
Last Update Date2024-02-07
Business Address
BASTION MEDICAL PRACTICE OF NEW JERSEY PC
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number: 650-610-1617
Mailing Address
BASTION MEDICAL PRACTICE OF NEW JERSEY PC
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number: 650-610-1617
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