Provider Demographics
NPI:1023012515
Name:MASHEK, HELEN A (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:A
Last Name:MASHEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 STANTON CHRISTIANA RD
Mailing Address - Street 2:STE 207
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2148
Mailing Address - Country:US
Mailing Address - Phone:302-633-7550
Mailing Address - Fax:302-225-3774
Practice Address - Street 1:537 STANTON CHRISTIANA RD
Practice Address - Street 2:SUITE # 207
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2146
Practice Address - Country:US
Practice Address - Phone:302-633-7550
Practice Address - Fax:302-633-7556
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004790207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000709401Medicaid
DE868910Medicare ID - Type Unspecified
DEG28989Medicare UPIN