Mastella, Daniel J

Mastella, Daniel J is an individual health care provider with primary practice located at 195 Eastern Blvd Suite 200, Glastonbury CT 06033-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mastella, Daniel J can be contacted via phone (860) 527-7161.

Contact Information

Primary practice address
195 Eastern Blvd Suite 200 Glastonbury CT 06033-1208
Phone: (860) 527-7161
Fax: (860) 652-8410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD419529 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 41663 Connecticut
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 041663 Connecticut

Profile Details

NPI number 1275643322
LBN Legal business name Mastella, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 6th, 2024 - about 9 months 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 1275643322 NPPES
Connecticut MEDICAID 001416636

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