Individual
KATHY L MASCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO, BOCPO, LPO
Contact information
Practice address
331 MAIN ST, WEST ORANGE, NJ 07052-5703
(973) 736-2244
(973) 736-2227
Mailing address
331 MAIN ST, WEST ORANGE, NJ 07052-5703
(973) 736-2244
(973) 736-2227
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
45PO00009500
NJ
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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