Masonicare Primary Care Physicians

LBN: Masonicare Primary Care Physicians
Masonicare Primary Care Physicians is an health care organization with primary practice located at 67 Masonic Avenue 1St Floor, Wallingford CT 06492. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Masonicare Primary Care Physicians can be contacted via phone (203) 265-0355, or through Bernshteyn, Alla via phone (203) 265-0355.

Contact Information

Primary practice address
67 Masonic Avenue 1St Floor Wallingford CT 06492
Phone: (203) 265-0355
Fax: (203) 265-7413
Website:
Map and Directions
Authorized official contact:
Name: Bernshteyn, Alla Doctor of Medicine (MD)
Phone: (203) 265-0355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1922084540
LBN Legal business name Masonicare Primary Care Physicians
DBA Doing business as
Authorized official Bernshteyn, Alla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Jan 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922084540 NPPES
Connecticut MEDICAID 004178605

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