Mascoli, Nicholas Michael

Mascoli, Nicholas Michael is an individual health care provider with primary practice located at 2000 Washington St Suite 546, Newton Lower Falls MA 02462-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mascoli, Nicholas Michael can be contacted via phone (617) 964-5020.

Contact Information

Primary practice address
2000 Washington St Suite 546 Newton Lower Falls MA 02462-1650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77443 Massachusetts

Profile Details

NPI number 1013964717
LBN Legal business name Mascoli, Nicholas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Aug 8th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013964717 NPPES
Other 077443 TUFTS HEALTH PLAN
MEDICAID 3123839 TUFTS HEALTH PLAN
Other 110083353 TUFTS HEALTH PLAN
Other J14524 TUFTS HEALTH PLAN

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