Individual
BACHTRUC TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, ANESTHESIA DEPARTMENT, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
11781 LEE JACKSON MEMORIAL HIGHWAY, SUITE 550, FAIRFAX, VA 22033
(571) 777-5173
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
229598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460497
—
NY
01
—
CE9959
RAILROAD MEDICARE GROUP
NY
01
—
P00152803
RAILROAD MEDICARE
NY
Enumeration date
07/05/2005
Last updated
10/28/2015
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