Individual
NEESHA BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7000
Mailing address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3844
CT
Other
Enumeration date
06/17/2014
Last updated
04/11/2018
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