Individual
SUSAN MASTELLONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3509
(410) 350-3511
Mailing address
12443 PETRILLO DR, HIGHLAND, MD 20777-9567
(301) 854-2120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H55662
MD
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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