Individual
DR. RAY VICTOR SISTONA CABUSLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, SUITE 502, HARTFORD, CT 06102-8000
(860) 545-0549
(860) 545-5221
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051656
CT
208M00000X
Hospitalist Physician
Primary
051656
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051656
LICENSE
CT
01
—
51656
LICENCE
CT
Enumeration date
07/30/2010
Last updated
10/20/2021
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