Individual
DR. PETER A MASELLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 E 187TH ST, BRONX, NY 10458-6700
(718) 733-3873
(718) 733-3873
Mailing address
620 REISS PL, APT 7G, BRONX, NY 10467-8044
(718) 655-9105
(718) 733-3873
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
128671
NY
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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