Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMENICK JOHN MASIELLO, DO
Active Sole ProprietorDR. DOMENICK JOHN MASIELLO, DO is a Electrodiagnostic Medicine healthcare provider located in RIDGEFIELD, Connecticut. NPI 1184747305 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · RIDGEFIELD, CT
Registration Details
- NPI Number
- 1184747305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.363814033403 yrs)
- Last Updated
- Sep 13, 2016
- Licenses
-
167000 (NY)000278 (CT)167000 (NY)000278 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
430 OLD SIB RDRIDGEFIELD, CT, 068772335Browse CT providers · Browse ZIP 06877
- Phone
- 2038263582
- Fax
- 8557982816
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Electrodiagnostic Medicine
- Additional Specialty
- Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.