1578769121 NPI number — JOSEPH A LAMBERTI R,PH., PD

Table of content: JOSEPH A LAMBERTI R,PH., PD (NPI 1578769121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578769121 NPI number — JOSEPH A LAMBERTI R,PH., PD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMBERTI
Provider First Name:
JOSEPH
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
R,PH., PD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578769121
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 MORRIS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROSPECT
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06712-1117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-758-0799
Provider Business Mailing Address Fax Number:
203-758-0799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 MORRIS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PROSPECT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06712-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-758-0799
Provider Business Practice Location Address Fax Number:
203-758-0799
Provider Enumeration Date:
06/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  10464 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1835N1003X , with the licence number: 10464 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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