Individual
MS. ABIGAIL L BAYZATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 PARK AVE, BRIDGEPORT, CT 06604-1047
(203) 416-3934
Mailing address
5151 PARK AVE # MC1011, FAIRFIELD, CT 06825-1090
(609) 351-9195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001449611
CIGNA PPO
CT
Enumeration date
03/14/2019
Last updated
03/14/2019
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