Pesce, Katherine Jane
Pesce, Katherine Jane is an individual health care provider with primary practice located at 4699 Main St Suite 212, Bridgeport CT 06606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Pesce, Katherine Jane can be contacted via phone (203) 372-8949.Contact Information
Primary practice address
4699 Main St Suite 212
Bridgeport CT 06606
Phone: (203) 372-8949
Fax: (203) 372-9296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 039261 | Connecticut |
Profile Details
| NPI number | 1770691552 |
|---|---|
| LBN Legal business name | Pesce, Katherine Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | May 13th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770691552 | NPPES |
| Connecticut | MEDICAID | 001392612 |
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