NPI 1063478865

Chris S Masillo, PA

Practitioner Physician Assistant Rutland, VT

Practice location

Address: 215 Stratton Rd, Rutland, VT 05701-4621
Phone: (802) 773-3386
Fax: (802) 773-4578

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055-0030658 (VT)

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Registry record

NPI: 1063478865
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2006
Record last updated: 11 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.