Organization
TERESITA G MASCARDO MD PC
Active
Other names
Connecticut Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA G MASCARDO MD (PRESIDENT)
(203) 431-0280
Entity
Organization
Contact information
Practice address
598 DANBURY RD, RIDGEFIELD, CT 06877-2718
(203) 431-0280
(203) 894-1250
Mailing address
598 DANBURY ROAD, RIDGEFIELD, CT 06877
(203) 431-0280
(203) 894-1250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0310
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201664
—
CT
Enumeration date
11/08/2006
Last updated
06/11/2008
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