Individual
JOSEPH MASCOLO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
35 TALCOTTVILLE RD, VERNON, CT 06066-5261
(860) 870-6385
Mailing address
35 TALCOTTVILLE RD, STE 1, VERNON, CT 06066-5261
(860) 870-6385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8261
CT
Other
Enumeration date
06/20/2019
Last updated
09/10/2019
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