Individual
DR. RYAN MICHAEL MASCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
663 W LANCASTER AVE, BRYN MAWR, PA 19010-3805
(610) 658-0999
Mailing address
1350 EDGMONT AVE STE 1500, CHESTER, PA 19013-3962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102202563
VA
208000000X
Pediatrics Physician
Primary
OS019565
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS019565
MEDICAL LICENSE
PA
Enumeration date
06/23/2008
Last updated
03/20/2023
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