Justin Van Backer
Surgery Physician in New Britain, CT(View on Map)
Full Name
Justin Van Backer
NPI Number
1396139762
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/24/2015
Specialties
(Taxonomies)Licenses
State
Connecticut
License Number
70670
Contact
Information
Purpose
Mailing
Location
Address
1290 SILAS DEANE HWY
100 GRAND ST DEPT OF
City
Wethersfield
New Britain
State
CT
CT
Postal Code
06109-4337
06052-2016
Country
US
US
Telephone Number
(860) 972-9093
(860) 696-4923
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/22/2022
Provider Address
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