Masuck, Tony Michael

Masuck, Tony Michael is an individual health care provider with primary practice located at 25 Ridgewood Road , Springfield VT 05156-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Masuck, Tony Michael can be contacted via phone (802) 885-7691.

Contact Information

Primary practice address
25 Ridgewood Road Springfield VT 05156-2003
Phone: (802) 885-7691
Fax: (802) 885-7698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0420009122 Vermont

Profile Details

NPI number 1871515858
LBN Legal business name Masuck, Tony Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871515858 NPPES
Vermont MEDICAID OVN1209

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