Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 11711 | MT |
N | 207V00000X | Obstetrician & Gynecologist | LP00728 | RI |
Y | 207VX0000X | Obstetrician | 25MA08984000 | NJ |
NPI | 1235314394 |
---|---|
Provider Name | Deirdre C Masterton |
First Address | Flemington, NJ 08822-4664 |
Second Address | Flemington, NJ 08822-4664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 25/10/2011 |