Individual
CONRAD MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 932-5711
Mailing address
200 EDISON RD, ORANGE, CT 06477-3602
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
83894
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
06/19/2026
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