Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | C1-0005418 | DE |
NPI | 1003961020 |
---|---|
Provider Name | Dr. Francis Njeuma Mase |
First Address | Wilmington, DE 19802-2500 |
Second Address | Wilmington, DE 19802-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 21/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001039001 | (05) | DE |
H11764 | (02) | DE |