Whalio Doctors

NPI 1184747305

Domenick John Masiello, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Ridgefield, CT

Practice location

Address
430 Old Sib Rd, Ridgefield, CT 06877-2335
Phone
(203) 826-3582
Fax
(855) 798-2816

Registered specialties (4)

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 167000 (NY)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 167000 (NY)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 000278 (CT)
Neuromusculoskeletal Medicine & OMM Physician
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 000278 (CT)

Registry record

NPI
1184747305
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Apr 2007
Record last updated
13 Sep 2016

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.