Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C10003121 | DE |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C10003121 | DE |
NPI | 1285799148 |
---|---|
Provider Name | Dr. Dan E. Mason |
First Address | Philadelphia, PA 19178-7642 |
Second Address | Tampa, FL 33612-9411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 16/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1217362 | (05) | PA |
1440197 | (05) | NY |
5033209 | (05) | NJ |
6452159 | (05) | VA |
7725418 | (05) | MD |
DM50640 | (05) | RI |
F51000 | (02) |