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Contact Information

TONY M MASUCK, MD
25 RIDGEWOOD ROAD
SPRINGFIELD, VT05156-2003
 Phone: 802-885-7691
 Fax: 802-885-7698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TONY M MASUCK · (Male)

NPI # 1871515858
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0420009122
  • VT Medicaid OVN1209
Hospital affiliation(s)
  • RUTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    160 ALLEN ST
    RUTLAND, VT 05701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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