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Individual

RICHARD J MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 IDLEWILD AVE, EASTON, MD 21601-3824
(410) 820-8226
(410) 820-8405
Mailing address
510 IDLEWILD AVE, STE 200, EASTON, MD 21601-3883
(410) 820-8226
(410) 820-8405

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0053040
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
664310800
MD
01
CF170011
CAREFIRST
MD
Enumeration date
06/27/2005
Last updated
08/22/2019
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