Mason, Richard J

Mason, Richard J is an individual health care provider with primary practice located at 510 Idlewild Ave , Easton MD 21601-3824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mason, Richard J can be contacted via phone (410) 820-8226.

Contact Information

Primary practice address
510 Idlewild Ave Easton MD 21601-3824
Phone: (410) 820-8226
Fax: (410) 820-8405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D0053040 Maryland

Profile Details

NPI number 1508862285
LBN Legal business name Mason, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 22nd, 2019 - about 6 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 1508862285 NPPES
Maryland MEDICAID 664310800
Maryland Other CF170011

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