Doctor Name: | DR. ANGELINA A BAUTISTA |
NPI Number: | 1780660415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35045794B |
Business Practice Address: | 7007 Powers Blvd Parma, OH - 441295437 |
Business Phone Number: | 4407434356 |
Business Fax Number: | |
Mailing Address: | Po Box 29220, PARMA |
State: | OH |
Postal Code: | 441290220 |
Phone Number: | 4407434356 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 06/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35045794B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |