Individual
DR. JACOB BADURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
799-824 PARK AVE, BLOOMFIELD, CT 06002
(860) 243-1704
Mailing address
45 WOODSIDE DR, SOUTH WINDSOR, CT 06074-3438
(860) 874-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011967
CT
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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