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Contact Information

FABIOLA S BALAREZO, MD
2 TRAP FALLS ROAD
SUITE 414
SHELTON, CT06484-7354
 Phone: 203-929-7353
 Fax: 203-929-0756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for FABIOLA S BALAREZO · (Female)

NPI # 1134121064
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 12/09/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 037679
  • CT Medicaid 001376799
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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