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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275643322 | NPPES |
| Connecticut | MEDICAID | 001416636 |
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