Individual
CHRISTOPHER BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
80 SEYMOUR STREET, CVO-PROVIDER ENROLLMENT, HARTFORD, CT 06102-8000
(860) 545-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
007669
CT
363LA2100X
Acute Care Nurse Practitioner
12.007669
CT
363LG0600X
Gerontology Nurse Practitioner
007669
CT
Other
Enumeration date
07/16/2018
Last updated
10/11/2018
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