Mascarenhas, Maria R

Mascarenhas, Maria R is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - Gastro & Nutrition, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mascarenhas, Maria R can be contacted via phone (215) 590-3247.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - Gastro & Nutrition Philadelphia PA 19104-4319
Phone: (215) 590-3247
Fax: (215) 590-3606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD035592E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD035592E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA05530900 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 25MA05530900 New Jersey

Profile Details

NPI number 1780608299
LBN Legal business name Mascarenhas, Maria R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780608299 NPPES
Pennsylvania MEDICAID 001175852
Pennsylvania MEDICAID 5287103

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