Individual
DR. BETTY M MASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(919) 956-4535
Mailing address
PO BOX 52119, DURHAM, NC 27717-2119
(919) 956-4000
(919) 956-4535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9701050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104Q
NC BC/BS PROV ID NO
NC
05
—
891104Q
—
NC
Enumeration date
06/03/2006
Last updated
09/06/2011
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