Individual
DANIEL D MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
802 NEW HOLLAND AVE STE 200, LANCASTER, PA 17602-2288
(717) 299-6371
Mailing address
105 HERRVILLE RD, WILLOW STREET, PA 17584-8908
(717) 471-4260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C2-0012667
DE
207R00000X
Internal Medicine Physician
Primary
OS-006313L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C2-0012667
DE
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
OS-006313L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015871020009
—
PA
Enumeration date
10/03/2006
Last updated
06/04/2021
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