Organization
CARROLLTON SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN S MASTRUSERIO (MANAGER)
(502) 732-9922
Entity
Organization
Contact information
Practice address
309 ELEVENTH STREET, CARROLLTON, KY 41008
(502) 732-3299
(502) 732-8551
Mailing address
PO BOX 546, CARROLLTON, KY 41008
(502) 732-3299
(502) 732-8551
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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