Individual
DR. NICHOLAS J. MASCIOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 MAIN ST, SUITE 4C, JOHNSTOWN, PA 15901-1632
(814) 536-7725
(814) 539-3130
Mailing address
321 MAIN ST, SUITE 4C, JOHNSTOWN, PA 15901-1632
(814) 536-7725
(814) 539-3130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25-1562722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007090690001
—
PA
01
—
072559
HIGHMARK
PA
Enumeration date
09/03/2006
Last updated
07/08/2007
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