Individual
HAROLD L. MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, SUITE 105, WEST ORANGE, NJ 07052-1174
(973) 243-9729
(973) 243-9672
Mailing address
PO BOX 1230, EATONTOWN, NJ 07724-5230
(732) 383-4173
(732) 741-1895
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA05935000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6034501
—
NJ
Enumeration date
05/23/2006
Last updated
04/24/2017
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