Cynthia Baczewski PA-C

NPI 1053317206 - Physician Assistant - 363A00000X

NPI Details
NPI 1053317206
Gender Female
Enumeration Date 06/22/2005
Last Updated 08/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
263 FARMINGTON AVE
MARB #3
FARMINGTON CT, 06030-4038, US
Phone (860) 679-6600
Fax (860) 679-6604
Business Location
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON CT, 06030-2212, US
Phone (860) 679-7503
Fax (860) 679-1610
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 001540
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According to our database, Cynthia Baczewski PA-C NPI is 1053317206, taxonomy code is 363A00000X and license number is 001540, license state is located at Connecticut. Cynthia Baczewski PA-C physically located at 263 Farmington Ave, Farmington CT, 06030-4038. NPI Number Cynthia Baczewski PA-C has the Individual type.

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1053317206 NPI number is provided on an as is basis without warranty of any kind. 1053317206 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Baczewski PA-C are for informational purposes only.