Individual
MAURICIO MASFERRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 EAST HOSPITAL ROAD, 13 FLOOR. OBHS, DWIGHT D EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2039
(706) 787-5625
Mailing address
300 EAST HOSPITAL ROAD, BUILDING 300, 13 FLOOR. OBHS, DWIGHT D EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2039
(706) 787-5625
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0418009
KS
2084P0800X
Psychiatry Physician
Primary
60217
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86935828
—
NM
05
—
987753
—
AZ
Enumeration date
08/19/2005
Last updated
12/10/2013
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