Organization
JUDITH M. MASCOLO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH M MASCOLO M.D. (OWNER)
(860) 233-4600
Entity
Organization
Contact information
Practice address
639 PARK RD, STE 100, WEST HARTFORD, CT 06107-3443
(860) 233-4600
(860) 233-4604
Mailing address
639 PARK RD STE 100, WEST HARTFORD, CT 06107-3443
(860) 233-4600
(860) 233-4604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036592
CT
Other
Enumeration date
09/14/2007
Last updated
04/28/2014
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