BRISTOL SURGICAL GROUP, P.C.
Medical Practice at Newell Rd, Bristol, CT

License number
Connecticut 707866
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ARA D. BAGDASARIAN M.D.
Title: PRESIDENT
Phone: (860) 583-2003
Address
Address
25 Newell Rd SUITE D-21, Bristol, CT 06010
National Provider ID: 1912197781
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRISTOL SURGICAL GROUP, PC

25 Newell Rd SUITE D-21, Bristol, CT

Status:
Inactive
Registration:
Jul 30, 1979
State ID:
0094915
Business type:
Stock
PRESIDENTs:
Ara D Bagdasarian (PRES), 25 Newell Rd SUITE D 21, Bristol, CT 06010 (Mailing)
296 Winding Rdg Rd, Southington, CT 06489 (Physical),Renate Bagdasarian (SEC), 25 Newell Rd SUITE D 21, Bristol, CT 06010 (Mailing)
296 Winding Rdg Rd, Southington, CT 06489 (Physical),Rainer W. Bagdasarian  Vice (PRESIDENT), 25 Newell Rd SUITE D 21, Bristol, CT 06010 (Mailing)
72 N Star Dr, Southington, CT 06489 (Physical)
Agent:
Robert A. Scalise,35 Pearl St, New Britain, CT 06051 (Mailing)
191 Vine St, New Britain, CT 06052 (Physical)

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