| Joseph B Masternick Do Inc | |
|
914 Trailwood Dr Boardman OH 44512-5007 | |
| (330) 758-4568 | |
| (330) 758-5683 |
| Full Name | Joseph B Masternick Do Inc |
|---|---|
| Speciality | General Practice |
| Location | 914 Trailwood Dr, Boardman, Ohio |
| Authorized Official Name and Position | Loretta Burnich (OFFICE MANAGER) |
| Authorized Official Contact | 3307584568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph B Masternick Do Inc Po Box 14290 Poland OH 44514-7290 Ph: (330) 758-4568 | Joseph B Masternick Do Inc 914 Trailwood Dr Boardman OH 44512-5007 Ph: (330) 758-4568 |
| NPI Number | 1710130018 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 05/03/2010 |
| Medicare PECOS PAC ID | 4183751464 |
|---|---|
| Medicare Enrollment ID | O20100419000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710130018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34-00-2093 (Ohio) | Primary |
| Provider Name | Joseph B Masternick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669491569 PECOS PAC ID: 1658269089 Enrollment ID: I20040308001050 |
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