| NPI | 1235279787 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGELITO C BACAY President 860-872-8563 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: CT 029990) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 029990) | 
| Enumeration Date | 2007-02-07 | 
| Last Update Date | 2012-01-23 |