# NICHOLAS H. MAST, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235490061
- **Authorized official:** NICHOLAS H MAST MD (OWNER)
- **Authorized official phone:** (415) 530-5330

## Contact information

- **Practice address:** 100 ROWLAND WAY STE 200, NOVATO, CA 94945-5041
- **Practice address phone:** (415) 530-5330
- **Practice address fax:** (415) 530-5333
- **Mailing address:** 8 ALPINE LILY PL, SAN RAFAEL, CA 94903-1090
- **Mailing address phone:** (415) 353-6380
- **Mailing address fax:** (415) 353-6462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A98951 | CA | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 01/09/2023
