Organization
NICHOLAS J. MASCIOTRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J. MASCIOTRA MD (PRESIDENT)
(814) 536-7725
Entity
Organization
Contact information
Practice address
321 MAIN ST, SUITE 4C, JOHNSTOWN, PA 15901-1632
(814) 536-7725
(814) 539-3130
Mailing address
321 MAIN ST, SUITE 4C, JOHNSTOWN, PA 15901-1632
(814) 536-7725
(814) 539-3130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-016908-E
PA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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