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1598529802
BASTION MEDICAL PRACTICE OF NEW JERSEY PC
FARMINGTON, CT
NPI
1598529802
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Entity Type
Organization
Authorized Contact
VASANTH KAINKARYAM
President
786-220-0003
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
BASTION MEDICAL PRACTICE OF NEW JERSEY PC
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number: 650-610-1617
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Mailing Address
BASTION MEDICAL PRACTICE OF NEW JERSEY PC
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number: 650-610-1617
Copy
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