Provider Demographics
NPI:1639790504
Name:THREE 62 TEN RESEARCH GROUP, INC
Entity Type:Organization
Organization Name:THREE 62 TEN RESEARCH GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP RESEARCH AND DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAGAR
Authorized Official - Middle Name:NIKHIL
Authorized Official - Last Name:KAUSHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-603-4688
Mailing Address - Street 1:570 BARNUM AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06608-2446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:570 BARNUM AVE STE 108
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608-2446
Practice Address - Country:US
Practice Address - Phone:917-603-4688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch