Organization
BRISTOL SURGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARA D. BAGDASARIAN M.D. (PRESIDENT)
(860) 583-2003
Entity
Organization
Contact information
Practice address
25 NEWELL RD, SUITE D-21, BRISTOL, CT 06010-5100
(860) 583-2003
(860) 583-1639
Mailing address
25 NEWELL RD, SUITE D-21, BRISTOL, CT 06010-5100
(860) 583-2003
(860) 583-1639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
707866
CT
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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