Organization
BASTION HEALTH INC
Active
Parent organization
BASTION HEALTH HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASTION HEALTH HOLDINGS INC
Authorized official
REZA AMIN (CEO)
(860) 245-1670
Entity
Organization
Contact information
Practice address
115 N CALHOUN ST STE 4, TALLAHASSEE, FL 32301-1568
(617) 678-3881
Mailing address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(860) 245-1670
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/06/2021
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