Individual
LOREN L. MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 AKRON GENERAL AVE, #3500, AKRON, OH 44307-2432
(330) 344-1400
(330) 344-0112
Mailing address
1 AKRON GENERAL AVE, #3500, AKRON, OH 44307-2432
(330) 344-1400
(330) 344-0112
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-121901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123193
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/23/2007
Last updated
01/08/2016
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