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NPI 1487650222

NPI 1487650222 : JOSEPH BALSAMO M.D. : GUILFORD, CT

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General NPI Number Information
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    NPI Number           |    1487650222
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH BALSAMO M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/27/2005
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    1591 BOSTON POST RD STE 100 
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-4335
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    Country              |    US
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    Telephone            |    203-932-6481
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    Fax                  |    203-932-4051
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Provider Business Mailing Address
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    Address Line         |    1 CELLINI PL STE 102 
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    City                 |    WEST HAVEN
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    State                |    CT
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    Zip                  |    06516-1666
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    Country              |    US
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    Telephone            |    203-932-6481
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    Fax                  |    203-889-4953
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    031839
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    License Number State |    CT
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