Individual
GABRIELLA RENEE MASCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8040
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5128
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
03/10/2026
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