Individual
DR. PATRICK PAUL MASTROIANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5445
(203) 336-3306
(203) 336-5802
Mailing address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5445
(203) 336-3306
(203) 336-5802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023870
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002199
HEALTHNET PROVIDER ID
CT
01
—
010023870CT05
ANTHEM BC PROVIDER ID
CT
01
—
0534330
AETNA PROVIDER ID
CT
01
—
061386448
BERKLEY CARE PROVIDER ID
CT
01
—
ZS254
OXFORD HEALTH PROV. ID
CT
Enumeration date
07/13/2006
Last updated
04/19/2010
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