Individual
ELIZABETH K MASELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-4781
Mailing address
1134 VALLEY RD, FAIRFIELD, CT 06825-1673
(203) 515-8136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002186
CT
Other
Enumeration date
10/09/2008
Last updated
03/23/2022
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