Individual
PETER J MASCETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
6 EAST CHESTNUT STREET, AUGUSTA, ME 04333-0001
(207) 626-1000
Mailing address
28 ARSENAL ST, AUGUSTA, ME 04330-5226
(207) 622-4231
(207) 623-1580
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
918
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2861000099
—
ME
Enumeration date
06/23/2005
Last updated
06/04/2008
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