Rainer Wolf Bagdasarian
Surgeon Vascular Surgeon
25 Newell Rd Suite D28
Bristol
, Connecticut 06010
Rainer Wolf Bagdasarian
Surgeon Vascular Surgeon
25 Newell Rd Suite D28
Bristol
, Connecticut 06010
(860) 582-6255
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Rainer Wolf Bagdasarian
- 25 Newell Rd Suite D28
- Bristol, CT
- Zip : 06010
- Fax : (860) 582-6255
- Phone : (860) 583-2003
Second Address
- Rainer Wolf Bagdasarian
- 25 Newell Rd Suite D28
- Bristol, CT
- Zip : 06010
- Fax : (860) 582-6255
- Phone : (860) 583-2003
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What type of doctor is Rainer Wolf Bagdasarian
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Is Rainer Wolf Bagdasarian a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 038365 | CT |
| Y | 208600000X | Surgeon | 038365 | CT |
| N | 2086S0129X | Vascular Surgeon | 038365 | CT |
National Provider Identifier
| NPI | 1013025295 |
|---|---|
| Provider Name | Rainer Wolf Bagdasarian |
| First Address | Bristol, CT 06010 |
| Second Address | Bristol, CT 06010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 27/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001383653 | (05) | CT |
| H10549 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.