Individual
KETAN RAMANLAL BULSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-8080
Mailing address
UCONN MEDICAL GROUP 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-8080
(860) 679-1430
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
045293
CT
208600000X
Surgery Physician
045293
CT
Other
Enumeration date
06/14/2007
Last updated
09/29/2022
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