Individual
MASON C GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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