TERESITA G MASCARDO MD PC NPI 1790854081

NPI Information

NPI: 1790854081
Provider Name: TERESITA G MASCARDO MD PC

Doing Business As: CONNECTICUT PLASTIC SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
598 DANBURY RD
RIDGEFIELD, CT
ZIP 06877
Phone: (203) 431-0280
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TERESITA G MASCARDO MD PC is an ambulatory surgical clinic center in Ridgefield, CT. TERESITA G MASCARDO MD PC NPI is 1790854081. The provider is registered as an organization entity type.
The provider Is Doing Business As Connecticut Plastic Surgery Center.

The provider's business location address is:

598 DANBURY RD
RIDGEFIELD, CT
ZIP 06877-718
Phone: (203) 431-0280
Fax: (203) 894-1250

The provider's authorized official is Teresita G Mascardo .
The authorized official title is President and has the following contact phone number (203) 431-0280.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/11/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0310	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
1	B17090	MEDICARE UPIN
2	240000038	MEDICARE ID-TYPE UNSPECIFIED
3	001201664	MEDICAID	CONNECTICUT

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: 5/5/2024

NPI Synchronization or Removal

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