Organization
ID SPECIALISTS OF FAIRFIELD, PLLC
Active
Organization
ID SPECIALISTS OF FAIRFIELD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANNE PASSALACQUA MD (PHYSICIAN)
(203) 893-0335
Entity
Organization
Contact information
Practice address
1300 POST RD STE 208, FAIRFIELD, CT 06824-6038
(203) 893-0335
Mailing address
115 LORDS HWY, WESTON, CT 06883-1715
(203) 893-0335
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
CT035850
CT
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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