Dr. Wallace B Masciuch
Pediatric Orthopaedic Surgeon
6274 Montrose Rd
Rockville
, Maryland 20852-4119
Dr. Wallace B Masciuch
Pediatric Orthopaedic Surgeon
6274 Montrose Rd
Rockville
, Maryland 20852-4119
(301) 230-2544
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Wallace B Masciuch
- 6274 Montrose Road
- Rockville, MD
- Zip : 20852-4119
- Fax : (301) 230-2544
- Phone : (301) 230-2444
Second Address
- Dr. Wallace B Masciuch
- 6274 Montrose Rd
- Rockville, MD
- Zip : 20852-4119
- Fax : (301) 230-2544
- Phone : (301) 230-2444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | DOO37885 | MD |
National Provider Identifier
| NPI | 1851305940 |
|---|---|
| Provider Name | Dr. Wallace B Masciuch |
| First Address | Rockville, MD 20852-4119 |
| Second Address | Rockville, MD 20852-4119 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E39421 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.