Bakaysa, Stephanie L

Bakaysa, Stephanie L is an individual health care provider with primary practice located at 85 Jefferson St Ste 625 Hartford Hospital Maternal Fetal Medicine, Hartford CT 06106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Bakaysa, Stephanie L can be contacted via phone (860) 972-2884.

Contact Information

Primary practice address
85 Jefferson St Ste 625 Hartford Hospital Maternal Fetal Medicine Hartford CT 06106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 258865 Massachusetts
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 56050 Connecticut

Profile Details

NPI number 1134449697
LBN Legal business name Bakaysa, Stephanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134449697 NPPES
Connecticut MEDICAID 1134449697

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