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Contact Information

KATHERINE M MASOUD, APRN
112 QUARRY RD
SUITE 250
TRUMBULL, CT06611-4816
 Phone: 203-371-7048
 Fax: 203-371-7066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHERINE M MASOUD · (Female)

NPI # 1285067074
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/15/2013
Last updated 11/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 5434
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
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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