Individual
DR. JOSEPH BURTON MASTERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
914 TRAILWOOD DR, BOARDMAN, OH 44512-5007
(330) 758-4568
(330) 758-5683
Mailing address
P.O. BOX 14290, POLAND, OH 44514
(330) 758-4568
(330) 758-5683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.002093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128887
ANTHEM
OH
05
—
0273985
—
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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