| Judith M. Mascolo, Md, Llc | |
|
639 Park Rd Ste 100 West Hartford CT 06107-3443 | |
| (860) 233-4600 | |
| (860) 233-4604 |
| Full Name | Judith M. Mascolo, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 639 Park Rd, West Hartford, Connecticut |
| Authorized Official Name and Position | Judith M Mascolo (OWNER) |
| Authorized Official Contact | 8602334600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith M. Mascolo, Md, Llc 639 Park Rd Ste 100 West Hartford CT 06107-3443 Ph: (860) 233-4600 | Judith M. Mascolo, Md, Llc 639 Park Rd Ste 100 West Hartford CT 06107-3443 Ph: (860) 233-4600 |
| NPI Number | 1043406812 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043406812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036592 (Connecticut) | Primary |
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