Individual
JOSEPH MASCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
125 S 9TH ST STE 1005, PHILADELPHIA, PA 19107-5123
(215) 543-7002
Mailing address
503 NATALIE LN, NORRISTOWN, PA 19401-3111
(570) 357-7585
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP021099
PA
363LG0600X
Gerontology Nurse Practitioner
SP021099
PA
Other
Enumeration date
11/04/2019
Last updated
09/01/2021
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