Bastion Medical Practice of New Jersey PC
NPI #1598529802 in Farmington, Connecticut
Provider Information
- NPI Number
- 1598529802
- Entity Type
- Organization
- Organization Name
- Bastion Medical Practice of New Jersey PC
- Primary Specialty
- Urology
- Enumeration Date
- Feb 7, 2024
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 400 FARMINGTON AVE
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06032-1913
- Phone
- (650) 610-1617
Authorized Official
- Name
- DR. VASANTH KAINKARYAM, MD
- Title
- PRESIDENT
- Phone
- (786) 220-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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