Matthew Mastiano
Physician Assistant, Medical in Chambersburg, PA. Individual provider (NPI-1).
NPI number1154953545
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1154953545
- Entity type
- Individual (NPI-1)
- Name
- Matthew Mastiano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA062515 | PA | Yes |
| 363A00000X | Physician Assistant | 2511 | WV | |
| 363A00000X | Physician Assistant | C007902 | MD | |
| 363A00000X | Physician Assistant | MA062515 | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
12 St Paul DriveWellspan Neurosurgery
Chambersburg, PA 17201
Phone 717-217-6028
Mailing address
601 Memory LnYork, PA 17402-2231
Phone 717-851-1405
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