Joel P. Mascaro, D.o., P.c. | |
9449 N 90th St Suite 114 Scottsdale AZ 85258-5099 | |
(480) 214-3313 | |
Not Available |
Full Name | Joel P. Mascaro, D.o., P.c. |
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Speciality | Family Medicine |
Location | 9449 N 90th St, Scottsdale, Arizona |
Authorized Official Name and Position | Joel P Mascaro (PRESIDENT) |
Authorized Official Contact | 6024311152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joel P. Mascaro, D.o., P.c. 11681 E Bella Vista Dr Scottsdale AZ 85259-6360 Ph: (602) 431-1152 | Joel P. Mascaro, D.o., P.c. 9449 N 90th St Suite 114 Scottsdale AZ 85258-5099 Ph: (480) 214-3313 |
NPI Number | 1922270339 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 10/26/2016 |
Medicare PECOS PAC ID | 7517045636 |
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Medicare Enrollment ID | O20080415000394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922270339 | NPI | - | NPPES |
3250 | Other | AZ | STATE LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3250 (Arizona) | Primary |
Provider Name | Joel P Mascaro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396778932 PECOS PAC ID: 4385733377 Enrollment ID: I20071128000493 |
Provider Name | Mujahed B Lateef |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1710938246 PECOS PAC ID: 7517918071 Enrollment ID: I20201021003215 |
Provider Name | Anthony T Mistretta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720577877 PECOS PAC ID: 3476952342 Enrollment ID: I20210526000096 |
Provider Name | Mehrdod S Eleezeh |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1588190730 PECOS PAC ID: 1557525490 Enrollment ID: I20220607001364 |
Provider Name | Ekaterini Demetrios Pliakos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073292181 PECOS PAC ID: 0840644696 Enrollment ID: I20230927001848 |
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