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Individual
DR. BRIAN ALAN BAST
Active
Individual
DR. BRIAN ALAN BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
045336
CT
208100000X
Physical Medicine & Rehabilitation Physician
233705
NY
Other
Enumeration date
05/02/2007
Last updated
01/02/2015
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