Organization
D. NEAL MASTRUSERIO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC NEAL MASTRUSERIO MD (PRESIDENT)
(614) 442-6647
Entity
Organization
Contact information
Practice address
3380 TREMONT RD STE 140, COLUMBUS, OH 43221-2140
(614) 442-6647
(614) 442-6648
Mailing address
3380 TREMONT RD STE 140, COLUMBUS, OH 43221-2140
(614) 442-6647
(614) 442-6648
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35072392M
OH
Other
Enumeration date
10/18/2007
Last updated
12/17/2021
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