Individual
DR. MARY JOSEPHINE MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3413 LEWIS RD, NEWTOWN SQUARE, PA 19073-3404
(484) 557-4475
Mailing address
3413 LEWIS RD, NEWTOWN SQUARE, PA 19073-3404
(484) 557-4475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038057
PA
1223G0001X
General Practice Dentistry
G10001291
DE
Other
Enumeration date
05/07/2009
Last updated
08/18/2010
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