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Individual
DR. MICHAEL JOHN MASH
Active
Individual
DR. MICHAEL JOHN MASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD LLC
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027851E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045906000
BCBS
—
05
—
0921387
—
PA
Enumeration date
10/13/2006
Last updated
07/08/2007
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