Individual provider · Type 1 NPI

Katelyn Mastrogiacomo, PA-C

Surgical Physician Assistant · Bridgeport, CT

NPI number 1346717352 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Call (203) 576-6000 Map

Mailing address

635 Ashley Ct
Cheshire, CT 06410-3246

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4397 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1346717352

Katelyn Mastrogiacomo, PA-C's National Provider Identifier is 1346717352, issued on Oct 29, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 1, 2024.