Individual
JO-ANNE PASSALACQUA
Active
Individual
JO-ANNE PASSALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
035850
CT
207RI0200X
Infectious Disease Physician
Primary
035850
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001358507
—
CT
Enumeration date
03/20/2006
Last updated
12/10/2015
Update your record
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