Individual
MICHAEL M PASSARETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-0188
(860) 645-9573
Mailing address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-0188
(860) 645-9573
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017533
CT
207X00000X
Orthopaedic Surgery Physician
Primary
017533
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175330
—
CT
Enumeration date
04/13/2006
Last updated
02/24/2009
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