Individual
BART E MUHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
599 MIDDLESEX TPKE, OLD SAYBROOK, CT 06475-1201
(860) 661-1383
(860) 661-1385
Mailing address
6 RESEARCH DR STE 105, SHELTON, CT 06484-6228
(203) 210-6340
(203) 502-2615
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
45194
CT
2086S0129X
Vascular Surgery Physician
MD16508
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451947
—
CT
Enumeration date
07/05/2006
Last updated
04/28/2023
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