MICHAEL DAVID PASSAFARO (Credential# 1499605) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHAEL DAVID PASSAFARO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062044-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 39 S Murray Ave, Ridgewood, NJ 07450-3610. The current status is active.
| Licensee Name | MICHAEL DAVID PASSAFARO |
| Credential ID | 1499605 |
| Credential Number | 1.062044-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
39 S Murray Ave Ridgewood NJ 07450-3610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-19 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-17 |
| Street Address | 39 S MURRAY AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis F Amorosa | 71 Glenwood Rd, Ridgewood, NJ 07450 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Barry Poskanzer | 550 N Maple Ave, Ridgewood, NJ 07450 | Architect | 2020-08-01 ~ 2021-07-31 |
| James D Weisberger | 714 Waverly Road, Ridgewood, NJ 07450 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Gene Pride | 218 Richards Road, Ridgewood, NJ 07450 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Daniel Brodkin | 518 Summit St, Ridgewood, NJ 07450 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jillian Casella | 470 Old Stone Road, Ridgewood, NJ 07450 | Physical Therapist | 2019-08-05 ~ 2019-09-30 |
| Bryan M Waisnor | 444 South Pleasant Avenue, Ridgewood, NJ 07450 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laura S Mcgrath | 354 S. Irving Street, Ridgewood, NJ 07450 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Boyoung Choi | 268 Jeffer Street, Ridgewood, NJ 07450 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nancy A Celander | 386 Litchfield St, Ridgewood, NJ 07450 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 07450 | |||
| City | RIDGEWOOD |
| Zip Code | 07450 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Michael Shafer | 535 Fifth Avenue, New York, NY 10017 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David Michael Vermette | 171 Waite St, Hamden, CT 06517-2527 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Michael David Duplessie | 7815 English Way, Bethesda, MD 20817-1966 | Physician/surgeon | ~ |
| Michael David Parker Md | 22 Upper Main St, Sharon, CT 06069 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael David Beitle | 115 Fernwood Drive, East Greenwich, RI 02818 | Physician/surgeon | 1998-10-26 ~ 1999-12-31 |
| Kristina Passafaro | 4 Emily Ln, Mahopac, NY 10541-1057 | Hairdresser/cosmetician | 2015-04-01 ~ 2017-03-31 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).