NPI 1821583345

Kathy L Mascola, COBOCPOLPO

Practitioner Orthotist West Orange, NJ

Practice location

Address: 331 Main St, West Orange, NJ 07052-5703
Phone: (973) 736-2244
Fax: (973) 736-2227

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 45PO00009500 (NJ)

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Registry record

NPI: 1821583345
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2018
Record last updated: 27 Jun 2018

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.