Active NPIIndividual provider

Kate B Mastronunzio, PA-C

Physician Assistant in Stafford Springs, Connecticut

NPI Number1730375403
Practice location
201 Chestnut Hill RD, Johnson Memorial Hospital Emergency Room, Stafford Springs, CT 06076-4005
Fax
860-684-8285
Last updated
November 12, 2009

Kate B Mastronunzio is a Physician Assistant based in Stafford Springs, CT. Kate B Mastronunzio practices in Stafford Springs, CT and has the professional credentials of PA-C. The NPI Number for Kate B Mastronunzio is 1730375403 and holds a License No. 001967 (CT). The current practice location address for Kate B Mastronunzio is 201 Chestnut Hill RD, Johnson Memorial Hospital Emergency Room, Stafford Springs, CT 06076-4005 and can be reached out via phone at 860-684-8185 and via fax at 860-684-8285.

Provider Profile Details

NPI Number
1730375403
Provider Name
Kate B Mastronunzio
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
201 Chestnut Hill RD, Johnson Memorial Hospital Emergency Room, Stafford Springs, CT 06076-4005
Phone Number
860-684-8185
Fax Number
860-684-8285
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2007
Last Update Date
November 12, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Chestnut Hill RD
Johnson Memorial Hospital Emergency Room
Stafford Springs, CT 06076-4005
Zip
06076-4005
Phone Number
860-684-8185
Fax Number
860-684-8285
Stafford Springs, CT 06076Get directions →

Provider Business Mailing Address Details

Address
Po Box 789
Ludlow, MA 01056-0789
City
Ludlow
State
MA
Zip
01056-0789
Phone Number
413-509-1000
Fax Number
413-509-1003

License Information

License Number
001967
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kate B Mastronunzio, PA-C?

The NPI number of Kate B Mastronunzio, PA-C is 1730375403. It was assigned on September 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Kate B Mastronunzio, PA-C?

Kate B Mastronunzio, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001967.

Where does Kate B Mastronunzio, PA-C practice?

The practice location is 201 Chestnut Hill RD, Johnson Memorial Hospital Emergency Room, Stafford Springs, CT 06076-4005. The office can be reached at 860-684-8185 (phone) or 860-684-8285 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730375403 directly on the NPPES registry website.

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