Martinello, Shannon P

Martinello, Shannon P is an individual health care provider with primary practice located at 303 Whitney Ave , New Haven CT 06511-7204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martinello, Shannon P can be contacted via phone (203) 397-1243.

Contact Information

Primary practice address
303 Whitney Ave New Haven CT 06511-7204
Phone: (203) 397-1243
Fax: (203) 397-1241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37763 Connecticut

Profile Details

NPI number 1639134232
LBN Legal business name Martinello, Shannon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 8th, 2011 - about 13 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 1639134232 NPPES
Connecticut MEDICAID 001377630

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