Individual
CARMINE MASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 PHOENIX AVE, SUITE 2D, ENFIELD, CT 06082-4471
(860) 741-2541
(860) 745-5264
Mailing address
27 LAKESHORE DR, FARMINGTON, CT 06032-1263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007643
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007643
LICENSE
CT
Enumeration date
10/19/2006
Last updated
07/08/2007
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