Individual
JOHN J MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 CLOVERLEAF RD, ELIZABETHTOWN, PA 17022-9320
(717) 653-1467
(717) 653-1001
Mailing address
418 CLOVERLEAF RD, ELIZABETHTOWN, PA 17022-9320
(717) 653-1467
(717) 653-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066311L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017331020001
—
PA
01
—
01886502
CAPITAL BLUE CROSS
PA
01
—
2149271
AETNA HMO
PA
01
—
43009 S101
GEISINGER HEALTH PLAN
PA
01
—
516277
HIGHMARK BLUE SHIELD
PA
01
—
5163765
AETNA NON-HMO
PA
01
—
G79964
HEALTH ASSURANCE
PA
01
—
P002671
GATEWAY HEALTH PLAN
PA
Enumeration date
01/27/2006
Last updated
10/25/2007
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