Individual
ISABEL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
546 CHAPEL ST APT 1, NEW HAVEN, CT 06511-7403
(508) 808-0071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6921
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/27/2025
Last updated
02/27/2025
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