Individual
MR. PATRICK JOHN BAFUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-7552
(774) 441-6086
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2021-0128
NM
363A00000X
Physician Assistant
PA58388
CA
363A00000X
Physician Assistant
Primary
PA8564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013460
—
NY
Enumeration date
08/12/2009
Last updated
05/07/2026
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