Individual
DR. JOHN PHILIP MASTANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 IDLEWILD AVE, EASTON, MD 21601-3825
(410) 820-6411
(410) 820-4229
Mailing address
509 IDLEWILD AVE, EASTON, MD 21601-3889
(410) 924-0174
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
83159
SC
2085R0001X
Radiation Oncology Physician
Primary
D0036644
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088861300
—
MD
Enumeration date
07/07/2006
Last updated
06/09/2025
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