Individual
DR. CHRISTOPHER R. BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 667-1029
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 667-1029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
262956
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
04/29/2016
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