Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | C10004790 | DE |
NPI | 1023012515 |
---|---|
Provider Name | Helen A. Mashek |
First Address | Newark, DE 19713-2148 |
Second Address | Newark, DE 19713-2146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 24/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000709401 | (05) | DE |
G28989 | (02) | DE |