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Individual
DR. DOMENICK JOHN MASIELLO
Active
Individual
DR. DOMENICK JOHN MASIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
000278
CT
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
167000
NY
207Q00000X
Family Medicine Physician
000278
CT
207Q00000X
Family Medicine Physician
167000
NY
Other
Enumeration date
04/10/2007
Last updated
09/13/2016
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