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Contact Information

DISHA MASCARENHAS, MD
140 HAZARD AVE STE 105
ENFIELD, CT06082-5424
 Phone: 860-714-9733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DISHA MASCARENHAS · (Female)

NPI # 1528563517
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2018
Last updated 07/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 67189
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
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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