Individual
DR. MARY E. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1168 FIRST COLONIAL RD, STE 200, VIRGINIA BEACH, VA 23454-2444
(757) 496-9020
(757) 481-0638
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101043869
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101043869
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-033
TRICARE/CHAMPUS
VA
05
—
006073026
—
VA
01
—
0633Y
BC/BS
NC
01
—
15578
SENTARA OPTIMA
VA
01
—
236912
UHC/MAMSI
VA
01
—
250693
ANTHEM
VA
05
—
890633Y
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
02/23/2006
Last updated
06/29/2011
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