| Doctor Name: | RAINER WOLF BAGDASARIAN |
| NPI Number: | 1013025295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 038365 |
| Business Practice Address: | 25 Newell Rd Suite D28 Bristol, CT - 06010 |
| Business Phone Number: | 8605832003 |
| Business Fax Number: | 8605826255 |
| Mailing Address: | 25 Newell Rd, Suite D28 BRISTOL |
| State: | CT |
| Postal Code: | 06010 |
| Phone Number: | 8605832003 |
| Fax Number: | 8605826255 |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 038365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |