Mascaro Pankova, Andres Antonio

Mascaro Pankova, Andres Antonio is an sole proprietor health care provider with primary practice located at 1500 Lansdowne Ave Dept. Of Surgery, Darby PA 19023-1291. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Mascaro Pankova, Andres Antonio can be contacted via phone (215) 421-3494.

Contact Information

Primary practice address
1500 Lansdowne Ave Dept. Of Surgery Darby PA 19023-1291
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08865700 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X MT189530 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 149967 California
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 149967 California

Profile Details

NPI number 1922397116
LBN Legal business name Mascaro Pankova, Andres Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2011
Last updated Jan 10th, 2018 - about 7 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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