| Doctor Name: | MRS. PATRICIA S BAK |
| NPI Number: | 1225156995 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | R38709 |
| Business Practice Address: | 128 Main St Suite 2 Sturbridge, MA - 015661556 |
| Business Phone Number: | 5083477585 |
| Business Fax Number: | 5083477538 |
| Mailing Address: | Po Box 40, SOUTHBRIDGE |
| State: | MA |
| Postal Code: | 015500040 |
| Phone Number: | 5089097799 |
| Fax Number: | 5087642432 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | R38709 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |