Individual
MRS. LINDA LOUISE MASCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS,APRN
Contact information
Practice address
378 HAWTHORNE AVE, DERBY, CT 06418-1047
(203) 736-0681
(203) 736-0681
Mailing address
378 HAWTHORNE AVE, DERBY, CT 06418-1047
(203) 736-0681
(203) 736-0681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003252
CT
Other
Enumeration date
01/26/2007
Last updated
10/11/2012
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