Individual
MATTHEW MASTIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 ST PAUL DRIVE, WELLSPAN NEUROSURGERY, CHAMBERSBURG, PA 17201
(717) 217-6028
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2511
WV
363A00000X
Physician Assistant
C007902
MD
363A00000X
Physician Assistant
MA062515
PA
363AM0700X
Medical Physician Assistant
Primary
MA062515
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2020
Last updated
11/12/2024
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