MEDICARE: JOSEPH BALSAMO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	031839	CT

General Provider Information

NPI Number	:	1487650222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH BALSAMO M.D.

Provider Business Mailing Address
First Line	:	1 CELLINI PL STE 102
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-1666
Country	:	US
Telephone Number	:	203-932-6481
Fax Number	:	203-889-4953

Provider Business Practice Location Address
First Line	:	1591 BOSTON POST RD STE 100
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-4335
Country	:	US
Telephone Number	:	203-932-6481
Fax Number	:	203-932-4051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/28/2025

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