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NPI Verification

National Provider Identifier: 1902965106

Emmanuel Estavillo Bautista, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI

1635 CENTRAL AVENUE ROOM 213

BRIDGEPORT, CT 06610

Phone: 203-551-7660

NPI Enumeration Date

December 6, 2006

NPI Number

1902965106

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry