Petruzziello, Fausto
Petruzziello, Fausto is an sole proprietor health care provider with primary practice located at 52 Washington Ave Suite 4, North Haven CT 06473-1724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petruzziello, Fausto can be contacted via phone (203) 672-2800.Contact Information
Primary practice address
52 Washington Ave Suite 4
North Haven CT 06473-1724
Phone: (203) 672-2800
Fax: (203) 672-2801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036943 | Connecticut |
Profile Details
| NPI number | 1316933419 |
|---|---|
| LBN Legal business name | Petruzziello, Fausto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 22nd, 2016 - about 9 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 | 1316933419 | NPPES |
| Connecticut | Other | 2V9255 | HEALTHNET |
| Connecticut | MEDICAID | 001369439 | HEALTHNET |
| Connecticut | Other | P00441640 | HEALTHNET |
| Connecticut | Other | 010036943CT01 | HEALTHNET |
| Connecticut | Other | 010036943CT07 | HEALTHNET |
| Connecticut | Other | 5941638 | HEALTHNET |
| Connecticut | Other | 754451Q040 | HEALTHNET |
| Connecticut | Other | P3846616 | HEALTHNET |
| Connecticut | Other | 754451 | HEALTHNET |
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