Provider Demographics
NPI:1851534481
Name:MASSARO, STEPHANIE ANN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ANN
Last Name:MASSARO
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:PO BOX 208064 LMP 2073
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8064
Mailing Address - Country:US
Mailing Address - Phone:203-785-4640
Mailing Address - Fax:203-737-2228
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:LMP 2073
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8064
Practice Address - Country:US
Practice Address - Phone:203-785-4640
Practice Address - Fax:203-737-2228
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
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Provider Licenses
StateLicense IDTaxonomies
CT0475342080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology