Individual
JUSTIN VAN BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GRAND ST DEPT OF, NEW BRITAIN, CT 06052-2016
(860) 696-4923
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70670
CT
Other
Enumeration date
03/24/2015
Last updated
07/22/2022
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