NPI 1013025295

Rainer Wolf Bagdasarian, MD

Practitioner Surgery Physician Bristol, CT

Practice location

Address: 25 Newell Rd Suite D28, Bristol, CT 06010
Phone: (860) 583-2003
Fax: (860) 582-6255

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 038365 (CT)

Other Surgery providers in Connecticut →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 038365 (CT)

Registry record

NPI: 1013025295
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2006
Record last updated: 27 Mar 2014

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.