Provider Demographics
NPI:1669444105
Name:MASI, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:MASI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2880 OLD DIXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3144
Mailing Address - Country:US
Mailing Address - Phone:203-248-6365
Mailing Address - Fax:203-281-2742
Practice Address - Street 1:2880 OLD DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3144
Practice Address - Country:US
Practice Address - Phone:203-248-6365
Practice Address - Fax:203-281-2742
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT028915207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1289158Medicaid
B38871Medicare UPIN
CT180000370Medicare ID - Type Unspecified