Individual
DR. DAVID MARTIN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 718, HARTFORD, CT 06106-5501
(860) 247-3479
(860) 522-6713
Mailing address
85 SEYMOUR ST, SUITE 718, HARTFORD, CT 06106-5501
(860) 247-3479
(860) 522-6713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016246
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
016246
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001162460
—
CT
Enumeration date
03/01/2006
Last updated
08/09/2013
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