YONG-SON BASTA, MD
Medical Practice at Shelburne Rd, Stamford, CT

License number
Connecticut 036501
Category
Medical Practice
Type
Pediatrics
License number
Connecticut 1273
Category
Medical Practice
Type
Pediatrics
Address
Address 2
30 Shelburne Rd, Stamford, CT 06904
57 Hickok Rd, New Canaan, CT 06840
Phone
(203) 276-7051
(203) 276-7363 (Fax)
(203) 972-3357
National Provider ID: 1619015690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about YONG-SON BASTA at bizstanding.com

RAINBOW PEDIATRICS, LLC

71 Strawberry Hl Ave, Stamford, CT 06902

Doing business as:
Rainbow Pediatrics LLC - Barbara L Allen MD<br>Rainbow Pediatrics LLC - Glenn E Ostriker MD<br>Rainbow Pediatrics LLC - Yong-Son Basta MD
Registration:
Oct 25, 2001
Site:
rainbowpediatrics.com
Phone:
(203) 323-7900 (Phone), (203) 348-6300 (Phone)
State ID:
0692378
Business type:
Domestic Limited Liability Company
MEMBER:
Barbara L. Allen (MEMBER), 71 Strawberry Hl Ave, Stamford, CT 06902 (Mailing)
41 Theresa Ct, Stamford, CT 06907 (Physical)
Agent:
Barbara L. Allen, M.d,430 High Rdg Rd, Stamford, CT 06905 (Mailing)
41 Theresa Ct, Stamford, CT 06907 (Physical)
Categories:
Pediatrics Physicians & Surgeons, Physicians & Surgeons
Specialties:
Pediatrics

YONG-SON BASTA, M.D., LLC

57 Hickok Rd, New Canaan, CT 06840

Status:
Inactive
Registration:
Sep 16, 1999
State ID:
0630379
Business type:
Domestic Limited Liability Company
Agent:
Yong-Son Basta, M.d,57 Hickok Rd, New Canaan, CT 06840 (Mailing)

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