Organization
D. NEAL MASTRUSERIO, M.D., LLC
Active
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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