Individual
STEPHEN BALDASSARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CEDAR ST, TAC-441 SOUTH, NEW HAVEN, CT 06519-1612
(203) 785-3207
(203) 785-3826
Mailing address
300 CEDAR ST, TAC-441 SOUTH, NEW HAVEN, CT 06519-1612
(203) 785-3207
(203) 785-3826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050681
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
050681
CT
207RP1001X
Pulmonary Disease Physician
050681
CT
208M00000X
Hospitalist Physician
050681
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
04/21/2017
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