Search › Connecticut › 208600000X
Justin Van Backer
NPI 1396139762 · on the registry since 2015
Practice
- Address
- 100 Grand St Dept Of
New Britain, CT 06052 - Phone
- (860) 696-4923
- Organisation at this address
- Rutland Dialysis Llc
Dhp Of Connecticut Pc
Hospital For Central Ct
New Britain General Hospital
New Britain General HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 380
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut