Active NPIIndividual providerSole proprietor

Dr. Judith M Mascolo, MD

Family Medicine in West Hartford, Connecticut

NPI Number1972641801
Practice location
639 Park RD, Suite 100, West Hartford, CT 06107-3443
Fax
860-233-4604
Last updated
April 28, 2014

Judith M Mascolo is a Family Medicine based in West Hartford, CT. Judith M Mascolo practices in West Hartford, CT and has the professional credentials of MD. The NPI Number for Judith M Mascolo is 1972641801 and holds a License No. 036592 (CT). The current practice location address for Judith M Mascolo is 639 Park RD, Suite 100, West Hartford, CT 06107-3443 and can be reached out via phone at 860-233-4600 and via fax at 860-233-4604.

Provider Profile Details

NPI Number
1972641801
Provider Name
Judith M Mascolo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
639 Park RD, Suite 100, West Hartford, CT 06107-3443
Phone Number
860-233-4600
Fax Number
860-233-4604
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2007
Last Update Date
April 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
639 Park RD
Suite 100
West Hartford, CT 06107-3443
Zip
06107-3443
Phone Number
860-233-4600
Fax Number
860-233-4604
West Hartford, CT 06107Get directions →

Provider Business Mailing Address Details

Address
639 Park RD
Suite 100
West Hartford, CT 06107-3443
City
West Hartford
State
CT
Zip
06107-3443
Phone Number
860-233-4600
Fax Number
860-233-4604

License Information

License Number
036592
License State
CT
Taxonomy
Family Medicine · 207Q00000X · 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 Dr. Judith M Mascolo, MD?

The NPI number of Dr. Judith M Mascolo, MD is 1972641801. It was assigned on February 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Judith M Mascolo, MD?

Dr. Judith M Mascolo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 036592.

Where does Dr. Judith M Mascolo, MD practice?

The practice location is 639 Park RD, Suite 100, West Hartford, CT 06107-3443. The office can be reached at 860-233-4600 (phone) or 860-233-4604 (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 1972641801 directly on the NPPES registry website.

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