Individual
DR. BRUCE E BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2518
(860) 848-1297
(860) 848-9875
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8701
(860) 425-8707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030224
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010030224CT01
BLUE CROSS
CT
01
—
C006876
CHAMPUS
CT
Enumeration date
01/05/2007
Last updated
04/23/2010
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