Organization
BANTAM ACUPUNCTURE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKHIL RAMBURN DAC (OWNER)
(802) 373-2352
Entity
Organization
Contact information
Practice address
624 BANTAM RD, BANTAM, CT 06750-1600
(802) 373-2352
Mailing address
622 BANTAM RD, BANTAM, CT 06750-1600
(802) 373-2352
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225100000X
Physical Therapist
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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