Individual
DR. MICHAEL JOSE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 KINGS HWY N, WESTPORT, CT 06880-2438
(203) 227-4113
(203) 226-6718
Mailing address
129 KINGS HWY N, WESTPORT, CT 06880-2438
(203) 227-4113
(203) 226-6718
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69814
CT
Other
Enumeration date
04/06/2016
Last updated
04/26/2022
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