Provider Demographics
NPI:1578769121
Name:LAMBERTI, JOSEPH A (R,PH, PD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:LAMBERTI
Suffix:
Gender:M
Credentials:R,PH, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MORRIS RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:CT
Mailing Address - Zip Code:06712-1117
Mailing Address - Country:US
Mailing Address - Phone:203-758-0799
Mailing Address - Fax:203-758-0799
Practice Address - Street 1:36 MORRIS RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:CT
Practice Address - Zip Code:06712-1117
Practice Address - Country:US
Practice Address - Phone:203-758-0799
Practice Address - Fax:203-758-0799
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
CT104641835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support