Passalacqua, Jo-Anne

Passalacqua, Jo-Anne is an individual health care provider with primary practice located at 2150 Black Rock Tpke 2Nd Floor, Fairfield CT 06825-3239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Passalacqua, Jo-Anne can be contacted via phone (203) 384-0451.

Contact Information

Primary practice address
2150 Black Rock Tpke 2Nd Floor Fairfield CT 06825-3239
Phone: (203) 384-0451
Fax: (203) 384-0472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 035850 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 035850 Connecticut

Profile Details

NPI number 1710946678
LBN Legal business name Passalacqua, Jo-Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 10th, 2015 - about 11 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 1710946678 NPPES
Connecticut MEDICAID 001358507

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