Individual
CHRISTOPHER EDWARD MASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4306
(215) 590-2708
(215) 590-2715
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BLDG 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
40431
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200849160
—
IN
05
—
7100002100
—
KY
Enumeration date
05/23/2006
Last updated
04/07/2022
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