Individual
DR. CLARENCE MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROUTE 6, MESHOPPEN, PA 18630
(570) 833-8300
(570) 833-8310
Mailing address
RR 1 BOX 3J, HOSPITAL DR, TOWANDA, PA 18848-9706
(570) 265-6300
(570) 268-2807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 0126030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677564
—
PA
Enumeration date
08/18/2005
Last updated
03/08/2010
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