Individual
PATRICK MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
79 HUDSON ST STE 2, HOBOKEN, NJ 07030-5638
(917) 533-3673
Mailing address
21 LENOX RD, SUMMIT, NJ 07901-3704
(917) 533-3673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0489681
NY
1223P0700X
Prosthodontics
Primary
048968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02099310
—
NY
05
—
02691596
—
NY
05
—
02691725
—
NY
Enumeration date
02/15/2007
Last updated
04/09/2025
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