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Elizabeth K Maselli, PA

Physician Assistant in Bridgeport, CT. Individual provider (NPI-1).

NPI number1508017484
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1508017484
Entity type
Individual (NPI-1)
Name
Elizabeth K Maselli
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 9, 2008
Certification date
Mar 22, 2022
Last updated
Mar 23, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant002186CTYes

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Phone 475-210-4781

Mailing address

1134 Valley Rd
Fairfield, CT 06825-1673

Phone 203-515-8136

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Other Physician Assistant providers in Bridgeport, CT

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