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Individual

RANBIR BAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1460 CHAPEL ST, NEW HAVEN, CT 06519-1233
(203) 691-3584
Mailing address
34 OLD NEW ENGLAND RD, WOLCOTT, CT 06716-2850
(203) 879-2467

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002604
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0040399533
CT
Enumeration date
11/13/2006
Last updated
07/08/2007
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