Individual
MARIA R MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILA - GASTRO & NUTRITION, PHILADELPHIA, PA 19104-4319
(215) 590-3247
(215) 590-3606
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9258
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA05530900
NJ
208000000X
Pediatrics Physician
MD035592E
PA
2080P0206X
Pediatric Gastroenterology Physician
25MA05530900
NJ
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD035592E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175852
—
PA
05
—
5287103
—
NJ
Enumeration date
07/27/2006
Last updated
10/24/2014
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