# JOEL P. MASCARO, D.O., P.C.

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

## Provider details

- **NPI number:** 1922270339
- **Authorized official:** DR. JOEL P MASCARO D.O. (PRESIDENT)
- **Authorized official phone:** (602) 431-1152

## Contact information

- **Practice address:** 9449 N 90TH ST, SUITE 114, SCOTTSDALE, AZ 85258-5099
- **Practice address phone:** (480) 214-3313
- **Mailing address:** 11681 E BELLA VISTA DR, SCOTTSDALE, AZ 85259-6360
- **Mailing address phone:** (602) 431-1152
- **Mailing address fax:** (602) 431-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3250 | AZ | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 10/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3250 | STATE LICENSURE | AZ |