Balarezo, Fabiola Sara
Balarezo, Fabiola Sara is an individual health care provider with primary practice located at 2 Trap Falls Road Suite 414, Shelton CT 06484-7354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Balarezo, Fabiola Sara can be contacted via phone (203) 929-7353.Contact Information
Primary practice address
2 Trap Falls Road Suite 414
Shelton CT 06484-7354
Phone: (203) 929-7353
Fax: (203) 929-0756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 037679 | Connecticut |
Profile Details
| NPI number | 1134121064 |
|---|---|
| LBN Legal business name | Balarezo, Fabiola Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 9th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134121064 | NPPES |
| Connecticut | MEDICAID | 001376799 |
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