Individual
STEPHANIE L BAKAYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 JEFFERSON ST STE 625, HARTFORD HOSPITAL MATERNAL FETAL MEDICINE, HARTFORD, CT 06106
(860) 972-2884
Mailing address
80 SEYMOUR ST, HARTFORD HOSPITAL MATERNAL FETAL MEDICINE, HARTFORD, CT 06102-5037
(860) 972-2884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
258865
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
56050
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134449697
—
CT
Enumeration date
06/08/2010
Last updated
07/21/2022
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