Disabatino, Charles A

Disabatino, Charles A is an individual health care provider with primary practice located at 60 Temple St , New Haven CT 06510-2716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Disabatino, Charles A can be contacted via phone (203) 789-2255.

Contact Information

Primary practice address
60 Temple St New Haven CT 06510-2716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 017300 Connecticut

Profile Details

NPI number 1457337644
LBN Legal business name Disabatino, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 20th, 2012 - about 12 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 1457337644 NPPES
Connecticut MEDICAID 001173004

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