Individual
KIMBERLY NADINE MASCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 STATE ST, HAMOT FACULTY SPECIALISTS, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
201 STATE ST, HAMOT FACULTY SPECIALISTS, ERIE, PA 16550-0002
(814) 877-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD424096
PA
208M00000X
Hospitalist Physician
MD424096
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011732060001
—
PA
Enumeration date
08/10/2005
Last updated
01/02/2014
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