Individual
SARAH ROSE MASCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
622 HEBRON AVE STE 107, GLASTONBURY, CT 06033-5003
(860) 657-3376
Mailing address
6 COOT RD, LOCUST VALLEY, NY 11560-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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