DR. PATRICK PAUL MASTROIANNI M.D. NPI 1073539367

NPI Information

NPI: 1073539367
Provider Name: DR. PATRICK PAUL MASTROIANNI, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
340 CAPITOL AVE
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 336-3306
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DR. Patrick Paul Mastroianni, M.D. is a specialist in Bridgeport, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Patrick Paul Mastroianni, M.D. NPI is 1073539367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

340 CAPITOL AVE
BRIDGEPORT, CT
ZIP 06606-445
Phone: (203) 336-3306
Fax: (203) 336-5802

The enumeration date for this NPI number is 7/13/2006 and was last updated on 4/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		023870	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0534330	OTHER	CONNECTICUT	AETNA PROVIDER ID
2	ZS254	OTHER	CONNECTICUT	OXFORD HEALTH PROV. ID
3	002199	OTHER	CONNECTICUT	HEALTHNET PROVIDER ID
4	14000138	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	MEDICARE PROVIDER ID
5	010023870CT05	OTHER	CONNECTICUT	ANTHEM BC PROVIDER ID
6	E12091	MEDICARE UPIN	CONNECTICUT
7	061386448	OTHER	CONNECTICUT	BERKLEY CARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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