Individual
CHRIS S MASILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030658
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000247
—
VT
Enumeration date
04/21/2006
Last updated
09/11/2019
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