Pesanti, Edward L

Pesanti, Edward L is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Pesanti, Edward L can be contacted via phone (860) 679-4225.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Fax: (860) 679-1217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 024174 Connecticut

Profile Details

NPI number 1942207386
LBN Legal business name Pesanti, Edward L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 19th, 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 1942207386 NPPES
Connecticut MEDICAID 1241744

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