Provider Demographics
NPI:1477846079
Name:MASCARENHAS, TRESA REENA (MBBS)
Entity Type:Individual
Prefix:DR
First Name:TRESA
Middle Name:REENA
Last Name:MASCARENHAS
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:537 STANTON CHRISTIANA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2148
Mailing Address - Country:US
Mailing Address - Phone:302-994-9692
Mailing Address - Fax:302-994-9803
Practice Address - Street 1:537 STANTON CHRISTIANA RD STE 202
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2148
Practice Address - Country:US
Practice Address - Phone:302-994-9692
Practice Address - Fax:302-994-9803
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10011090207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease