Bagdasarian, Rainer Wolf
Bagdasarian, Rainer Wolf is an individual health care provider with primary practice located at 25 Newell Rd Suite D28, Bristol CT 06010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bagdasarian, Rainer Wolf can be contacted via phone (860) 583-2003.Contact Information
Primary practice address
25 Newell Rd Suite D28
Bristol CT 06010
Phone: (860) 583-2003
Fax: (860) 582-6255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 038365 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 038365 | Connecticut |
Profile Details
| NPI number | 1013025295 |
|---|---|
| LBN Legal business name | Bagdasarian, Rainer Wolf |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Mar 27th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013025295 | NPPES |
| Connecticut | MEDICAID | 001383653 |
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