Kate B Mastronunzio PA-C

NPI 1730375403 - Physician Assistant - 363A00000X

NPI Details
NPI 1730375403
Gender Female
Enumeration Date 09/17/2007
Last Updated 11/12/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
201 CHESTNUT HILL RD
JOHNSON MEMORIAL HOSPITAL EMERGENCY ROOM
STAFFORD SPRINGS CT, 06076-4005, US
Phone (860) 684-8185
Fax (860) 684-8285
Business Location
PO BOX 789
LUDLOW MA, 01056-0789, US
Phone (413) 509-1000
Fax (413) 509-1003
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 001967
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According to our database, Kate B Mastronunzio PA-C NPI is 1730375403, taxonomy code is 363A00000X and license number is 001967, license state is located at Connecticut. Kate B Mastronunzio PA-C physically located at 201 Chestnut Hill Rd, Stafford Springs CT, 06076-4005. NPI Number Kate B Mastronunzio PA-C has the Individual type.

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1730375403 NPI number is provided on an as is basis without warranty of any kind. 1730375403 is maintained by the National Plan & Provider Enumeration System. The contents of Kate B Mastronunzio PA-C are for informational purposes only.