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Individual
JOHN J MAST
Active
Individual
JOHN J MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066311L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017331020001
—
PA
01
—
01886502
CAPITAL BLUE CROSS
PA
01
—
2149271
AETNA HMO
PA
01
—
43009 S101
GEISINGER HEALTH PLAN
PA
01
—
516277
HIGHMARK BLUE SHIELD
PA
01
—
5163765
AETNA NON-HMO
PA
01
—
G79964
HEALTH ASSURANCE
PA
01
—
P002671
GATEWAY HEALTH PLAN
PA
Enumeration date
01/27/2006
Last updated
10/25/2007
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