Provider Demographics
NPI:1326750613
Name:BALIAO, FRANCINE J (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:J
Last Name:BALIAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SOUNDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-6111
Mailing Address - Country:US
Mailing Address - Phone:203-424-7081
Mailing Address - Fax:
Practice Address - Street 1:1360 E TOWN RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3623
Practice Address - Country:US
Practice Address - Phone:203-877-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0016092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist