Masonicare Health Center
NPI #1588638688 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1588638688
- Entity Type
- Organization
- Organization Name
- Masonicare Health Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Nov 5, 2019
Practice Location
- Address
- 22 MASONIC AVE
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-3048
- Phone
- (203) 679-5900
Authorized Official
- Name
- JON-PAUL VENOIT
- Title
- PRESIDENT & CEO
- Phone
- (203) 679-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Clinic/Center |
| Prosthetic/Orthotic Supplier |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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