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Individual

KATE B MASTRONUNZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 CHESTNUT HILL RD, JOHNSON MEMORIAL HOSPITAL EMERGENCY ROOM, STAFFORD SPRINGS, CT 06076-4005
(860) 684-8185
(860) 684-8285
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001967
CT

Other

Enumeration date
09/17/2007
Last updated
11/12/2009
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