Individual
DR. JAMES RICHARD MASTRIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3000
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A19532
CA
207P00000X
Emergency Medicine Physician
34.013347
OH
207P00000X
Emergency Medicine Physician
Primary
OS023081
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
34.013347
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
11/10/2023
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