| 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 |