Individual
DR. DANIEL J MASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 HEBRON AVE STE 205, GLASTONBURY, CT 06033-2421
(860) 527-7161
(860) 652-8410
Mailing address
622 HEBRON AVE STE 205, GLASTONBURY, CT 06033-2421
(860) 527-7161
(860) 652-8410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41663
CT
207XS0106X
Orthopaedic Hand Surgery Physician
041663
CT
207XS0106X
Orthopaedic Hand Surgery Physician
MD419529
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001416636
—
CT
Enumeration date
08/30/2006
Last updated
06/10/2025
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