Della Porta, Maria Pasqualina

Della Porta, Maria Pasqualina is an sole proprietor health care provider with primary practice located at 156 Farmington Ave , Bristol CT 06010-4218. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Della Porta, Maria Pasqualina can be contacted via phone (860) 582-0702.

Contact Information

Primary practice address
156 Farmington Ave Bristol CT 06010-4218
Phone: (860) 582-0702
Fax: (860) 314-0263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002577 Connecticut

Profile Details

NPI number 1699781419
LBN Legal business name Della Porta, Maria Pasqualina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Aug 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699781419 NPPES
Connecticut MEDICAID 004239788
Connecticut Other P00080670

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