Passalacqua, Jo-Anne
Passalacqua, Jo-Anne is an individual health care provider with primary practice located at 2150 Black Rock Tpke 2Nd Floor, Fairfield CT 06825-3239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Passalacqua, Jo-Anne can be contacted via phone (203) 384-0451.Contact Information
Primary practice address
2150 Black Rock Tpke 2Nd Floor
Fairfield CT 06825-3239
Phone: (203) 384-0451
Fax: (203) 384-0472
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 035850 | Connecticut |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 035850 | Connecticut |
Profile Details
NPI number | 1710946678 |
---|---|
LBN Legal business name | Passalacqua, Jo-Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Dec 10th, 2015 - about 10 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 | 1710946678 | NPPES |
Connecticut | MEDICAID | 001358507 |
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