Individual
JOSEPH PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2160
(860) 679-1042
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
223989
CT
207RN0300X
Nephrology Physician
Primary
023989
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239896
—
CT
Enumeration date
06/30/2005
Last updated
09/26/2022
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