Organization
MASONICARE PRIMARY CARE PHYSICIANS
Active
Organization
MASONICARE PRIMARY CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA BERNSHTEYN MD (PRESIDENT)
(203) 265-0355
Entity
Organization
Contact information
Practice address
67 MASONIC AVENUE, 1ST FLOOR, WALLINGFORD, CT 06492
(203) 265-0355
(203) 265-7413
Mailing address
67 MASONIC AVENUE, 1ST FLOOR, WALLINGFORD, CT 06492
(203) 265-0355
(203) 265-7413
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004178605
—
CT
Enumeration date
12/15/2005
Last updated
01/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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