Individual
DR. WAYNE E MASHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4680
(207) 622-4085
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
278096
NY
208600000X
Surgery Physician
Primary
MD19452
ME
2086S0102X
Surgical Critical Care Physician
278096
NY
2086S0102X
Surgical Critical Care Physician
MD072744L
PA
2086S0102X
Surgical Critical Care Physician
ME129110
FL
2086S0102X
Surgical Critical Care Physician
S5430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001833910001
—
PA
01
—
020050007
RR MEDICARE PIN
PA
05
—
02157748
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040042
PA MEDICARE GROUP
PA
Enumeration date
02/02/2006
Last updated
12/21/2020
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