Individual
ANTHONY MASCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
217 N MAIN ST, SUITE 102, CAPE MAY COURT HOUSE, NJ 08210-2165
(609) 536-8010
(609) 536-8053
Mailing address
PO BOX 593, CAPE MAY COURT HOUSE, NJ 08210-0593
(609) 463-2755
(609) 463-2757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB05261500
NJ
207RG0100X
Gastroenterology Physician
Primary
25MB05261500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440904
—
NJ
Enumeration date
07/22/2005
Last updated
09/22/2014
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