# TERESITA G MASCARDO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Connecticut Plastic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790854081
- **Authorized official:** MRS. TERESITA G MASCARDO MD (PRESIDENT)
- **Authorized official phone:** (203) 431-0280

## Contact information

- **Practice address:** 598 DANBURY RD, RIDGEFIELD, CT 06877-2718
- **Practice address phone:** (203) 431-0280
- **Practice address fax:** (203) 894-1250
- **Mailing address:** 598 DANBURY ROAD, RIDGEFIELD, CT 06877
- **Mailing address phone:** (203) 431-0280
- **Mailing address fax:** (203) 894-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0310 | CT | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 06/11/2008
