Individual
GAETANO BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 POST OFFICE RD UNIT 1, ENFIELD, CT 06082-5686
(860) 305-0577
Mailing address
56 ELM MDWS, ENFIELD, CT 06082-3062
(860) 305-0577
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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