Provider Demographics
NPI:1407410079
Name:CUTLASS SURGICAL ASSOCIATES MD PA
Entity Type:Organization
Organization Name:CUTLASS SURGICAL ASSOCIATES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-558-9439
Mailing Address - Street 1:208 LAKESHORE RD
Mailing Address - Street 2:
Mailing Address - City:SHADY SHORES
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5012
Mailing Address - Country:US
Mailing Address - Phone:214-558-9439
Mailing Address - Fax:214-206-1489
Practice Address - Street 1:208 LAKESHORE RD
Practice Address - Street 2:
Practice Address - City:SHADY SHORES
Practice Address - State:TX
Practice Address - Zip Code:76208-5012
Practice Address - Country:US
Practice Address - Phone:214-558-9439
Practice Address - Fax:214-206-1489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty