Individual
MASON C GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 RESERVOIR AVE STE 1, CRANSTON, RI 02910-4453
(401) 714-0222
(401) 714-0220
Mailing address
900 RESERVOIR AVE STE 1, CRANSTON, RI 02910-4453
(401) 714-0222
(401) 714-0220
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
223324
MA
2084N0400X
Neurology Physician
Primary
DO00611
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058833
MEDICARE PTAN
RI
01
—
042472266
TRICARE CHAMPUS
—
01
—
2102242
MEDICAID WELFARE
—
05
—
2102242
—
MA
01
—
468304
TUFTS HEALTH PLAN
—
01
—
5623315
FIRST HEALTH
—
05
—
7058831
—
RI
01
—
7238673
AETNA US HEALTHCARE
—
01
—
87317
HEALTHY START
—
01
—
92597
FALLON COMMUNITY HEALTH P
—
01
—
A3870402
MEDICARE PTAN
RI
01
—
AA34401
HARVARD PILGRIM HEALTHCAR
—
01
—
J29259
BLUE CARE ELECT
—
Enumeration date
11/10/2005
Last updated
11/14/2019
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