NPI 1083330930

Bastion Medical Practice of Florida, P.A.

Organisation Urology Physician Farmington, CT

Practice location

Address: 400 Farmington Ave, Farmington, CT 06032-1913
Phone: (786) 220-0003

Authorised official

Name: Vasanth Kainkaryam
Title: President
Phone: (786) 220-0003

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Connecticut →

Registry record

NPI: 1083330930
Entity type: Organization
NPI issued: 12 Oct 2022
Record last updated: 12 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.