Individual
DANIEL CHRISTOPHER MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 WINTER STREET, WALTHAM, MA 02451-1433
(617) 491-6766
Mailing address
14 JERSEY BELLE DR, CINNAMINSON, NJ 08077-4536
(856) 638-0042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1019869
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
09/26/2024
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