Individual
MR. RAY ANTHONY APOLONIO BACALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(973) 495-6001
Mailing address
70 RIVERPATH DR APT 37, FRAMINGHAM, MA 01701-3994
(973) 495-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7605
MA
Other
Enumeration date
07/23/2020
Last updated
11/13/2024
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