Provider Demographics
NPI:1962453670
Name:MASLINSKI, PANTCHO G (MD)
Entity type:Individual
Prefix:
First Name:PANTCHO
Middle Name:G
Last Name:MASLINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:349 BEAVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WINDHAM
Mailing Address - State:CT
Mailing Address - Zip Code:06256-1254
Mailing Address - Country:US
Mailing Address - Phone:765-994-5149
Mailing Address - Fax:207-351-3478
Practice Address - Street 1:112 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2045
Practice Address - Country:US
Practice Address - Phone:860-456-6994
Practice Address - Fax:860-456-6762
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT726142084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200867080Medicaid
IN237290EMedicare PIN
IN200867080Medicaid