Girolamo, Marissa

Girolamo, Marissa is an individual health care provider with primary practice located at 1234 Summer St Ste 202 , Stamford CT 06905-5510. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Girolamo, Marissa can be contacted via phone (203) 323-1711.

Contact Information

Primary practice address
1234 Summer St Ste 202 Stamford CT 06905-5510
Phone: (203) 323-1711
Fax: (203) 323-4649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000558 Connecticut

Profile Details

NPI number 1104813955
LBN Legal business name Girolamo, Marissa
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 7th, 2020 - about 4 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 1104813955 NPPES
Connecticut Other 480000468 MEDICARE ID#
Connecticut Other 022112 MEDICARE ID#
Connecticut Other 030000558CT01 MEDICARE ID#
Connecticut Other 0328216002 MEDICARE ID#
Connecticut Other 95809 MEDICARE ID#

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