D'Agosto, Joseph

D'Agosto, Joseph is an individual health care provider with primary practice located at 30 Shelburne Rd , Stamford CT 06902-3628. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. D'Agosto, Joseph can be contacted via phone (203) 276-7000.

Contact Information

Primary practice address
30 Shelburne Rd Stamford CT 06902-3628
Phone: (203) 276-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 029835 Connecticut

Profile Details

NPI number 1306972039
LBN Legal business name D'Agosto, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1306972039 NPPES
Connecticut MEDICAID 1298357

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