Healthcare Provider Details

I. General information

NPI: 1326194929
Provider Name (Legal Business Name): MARGHERITA MASCOLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST DENVER HEALTH & HOSPITAL AUTHORITY
DENVER CO
80204-0000
US

IV. Provider business mailing address

777 BANNOCK ST DENVER HEALTH AND HOSPITAL AUTHORITY
DENVER CO
80204
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-6900
  • Fax:
Mailing address:
  • Phone: 303-436-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46767
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL-1593
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: