Bagdasarian, Ara D

Bagdasarian, Ara D is an individual health care provider with primary practice located at 25 Newell Rd Ste D-21, Bristol CT 06010-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bagdasarian, Ara D can be contacted via phone (860) 583-2003.

Contact Information

Primary practice address
25 Newell Rd Ste D-21 Bristol CT 06010-5128
Fax: (860) 583-1639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014226 Connecticut

Profile Details

NPI number 1639287816
LBN Legal business name Bagdasarian, Ara D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639287816 NPPES
Connecticut MEDICAID 286132600

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