Individual
DR. DOUGLAS E MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
950 ROUTE 146, CLIFTON PARK, NY 12065-3667
(518) 383-0302
(518) 373-2298
Mailing address
950 ROUTE 146, CLIFTON PARK, NY 12065-3667
(518) 383-0302
(518) 373-2298
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016-004384
IL
213ES0131X
Foot Surgery Podiatrist
Primary
N006379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060201289
BLUE CROSS BLUE SHIELD
IL
05
—
03293698
—
NY
01
—
N006379
LICENSE
NY
Enumeration date
09/20/2006
Last updated
01/19/2016
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