Mastrogiacomo, Katelyn

Mastrogiacomo, Katelyn is an individual health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mastrogiacomo, Katelyn can be contacted via phone (203) 576-6000.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4201
Phone: (203) 576-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4397 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1346717352
LBN Legal business name Mastrogiacomo, Katelyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Apr 1st, 2024 - about 2 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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