Individual
AMANDA MASCIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 BARTON RUN BLVD, MARLTON, NJ 08053-2758
(609) 712-2960
Mailing address
716 BARTON RUN BLVD, MARLTON, NJ 08053-2758
(609) 712-2960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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