EMMANUEL ESTAVILLO BAUTISTA

BRIDGEPORT, CT
NPI1902965106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  025021)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- EMMANUEL ESTAVILLO BAUTISTA MD
SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI 1635 CENTRAL AVENUE ROOM 213
BRIDGEPORT, CT 06610
Phone number: 203-551-7660
Mailing Address
-- EMMANUEL ESTAVILLO BAUTISTA MD
SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSK 1635 CENTRAL AVENUE ROOM 213
BRIDGEPORT, CT 06610
Phone number: 203-551-7660
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