Individual
MS. VIVIAN M MASTROIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
73 SAND PIT RD, SUITE 207, DANBURY, CT 06810-4042
(203) 792-4151
(203) 792-4155
Mailing address
73 SAND PIT RD, SUITE 207, DANBURY, CT 06810-4042
(203) 792-4151
(203) 792-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000274
CT
Other
Enumeration date
04/22/2006
Last updated
03/04/2008
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