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
Phone: (215) 421-3494
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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