Mascatello, Vincent James
Mascatello, Vincent James is an individual health care provider with primary practice located at 4001 Fair Ridge Dr #103, Fair Oaks Imaging Center, Fairfax VA 22033-2917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Mascatello, Vincent James can be contacted via phone (703) 385-5203.Contact Information
Primary practice address
4001 Fair Ridge Dr #103, Fair Oaks Imaging Center
Fairfax VA 22033-2917
Phone: (703) 385-5203
Fax: (703) 385-3058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 0101027809 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101027809 | Virginia |
Profile Details
| NPI number | 1124006747 |
|---|---|
| LBN Legal business name | Mascatello, Vincent James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124006747 | NPPES |
| Virginia | MEDICAID | 7232381 |
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