DANIEL J MASTELLA
Physician/surgeon


Address: 195 Eastern Blvd, Glastonbury, CT 06033-1208

DANIEL J MASTELLA (Credential# 559246) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DANIEL J MASTELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041663. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 195 Eastern Blvd, Glastonbury, CT 06033-1208. The current status is active.

Basic Information

Licensee Name DANIEL J MASTELLA
Credential ID 559246
Credential Number 1.041663
Credential Type Physician/Surgeon
Business Address 195 Eastern Blvd
Glastonbury
CT 06033-1208
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-07-15
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-03

Other licenses

ID Credential Code Credential Type Issue Term Status
348484 CSP.0033941 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-09-19 2019-03-01 - 2021-02-28 ACTIVE
909126 CSP.0047100 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-01-22 2015-03-01 - 2017-01-17 INACTIVE

Office Location

Street Address 195 EASTERN BLVD
City GLASTONBURY
State CT
Zip Code 06033-1208

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Glastonbury Surgery Center LLC · Glastonbury Surgery Center, LLC 195 Eastern Blvd, Glastonbury, CT 06033-1208 Out-patient Surgical Facility 2020-01-01 ~ 2021-12-31
Hugh E Finch Jr 195 Eastern Blvd, Glastonbury, CT 06033 Dentist 2020-03-01 ~ 2021-02-28
James R Piorkowski 195 Eastern Blvd, Glastonbury, CT 06033-1208 Physician/surgeon 2018-12-01 ~ 2019-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
John A Vischio 195 Eastern Blvd Ste 201, Glastonbury, CT 06033-1208 Physician/surgeon 2020-05-01 ~ 2021-04-30
Pamela M Wilson 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 Occupational Therapist 2019-08-01 ~ 2021-07-31
H Kirk Watson 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 Physician/surgeon 2020-04-01 ~ 2021-03-31
Christopher J Scola 195 Eastern Blvd Ste 201, Glastonbury, CT 06033-1208 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Duffield Ashmead 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Roxanne T Dunwoody 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 Physical Therapist 2019-11-01 ~ 2020-10-31
Deborah Pankonin 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 Occupational Therapist 2017-08-01 ~ 2019-07-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Vanessa Segal 46 Salem Court, Glastonbury, CT 06033 Hairdresser/cosmetician ~
Laura Nadeau 3641 Hebron Ave, Glastonbury, CT 06033 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Abigail Lynn Hubbard 55 Brookview Drive, Glastonbury, CT 06033 Emergency Medical Technician ~
Maureen E Booth 36 Hubbard Run Drive, Glastonbury, CT 06033 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
Munson's Chocolates 135 Glastonbury Blvd, Glastonbury, CT 06033 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Yulhun Sung 245 Griswold St Unit A, Glastonbury, CT 06033 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Find all Licenses in zip 06033

Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLASTONBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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