Mason, Theodore P
Mason, Theodore P is an individual health care provider with primary practice located at 100 Wason Avenue Suite 100, Springfield MA 01107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mason, Theodore P can be contacted via phone (413) 732-7426.Contact Information
Primary practice address
100 Wason Avenue Suite 100
Springfield MA 01107
Phone: (413) 732-7426
Fax: (413) 734-2371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 213321 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 213321 | Massachusetts |
Profile Details
| NPI number | 1619934668 |
|---|---|
| LBN Legal business name | Mason, Theodore P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 5th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619934668 | NPPES |
| Massachusetts | MEDICAID | 0173631 |
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