YONG-SON BASTA

STAMFORD, CT
NPI1619015690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CT  036501)
Additional Taxonomies208000000X Pediatrics
(Licence: VI  1273)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
YONG-SON BASTA MD
STAMFORD HOSPITAL, 30 SHELBURNE RD DEPARTMENT OF PEDIATRICS
STAMFORD, CT 06904-9317
Phone number: 203-276-7051
Mailing Address
YONG-SON BASTA MD
57 HICKOK RD
NEW CANAAN, CT 06840-3304
Phone number: 203-972-3357
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