Individual
DR. MARK ADRIAN MASCARENHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0301
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD423094
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA09423400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404837
—
NJ
Enumeration date
01/22/2008
Last updated
01/17/2017
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