Individual
DR. JUDITH M MASCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
639 PARK RD, SUITE 100, WEST HARTFORD, CT 06107-3443
(860) 233-4600
(860) 233-4604
Mailing address
639 PARK RD, SUITE 100, WEST HARTFORD, CT 06107-3443
(860) 233-4600
(860) 233-4604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036592
CT
Other
Enumeration date
02/02/2007
Last updated
04/28/2014
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