Provider Demographics
NPI:1821264946
Name:MASON, MATTHEW D (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:MASON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:750 E ADAMS ST
Mailing Address - Street 2:UPSTATE MEDICAL UNIVERSITY - DEPARTMENT OF UROLOGY
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-1500
Mailing Address - Fax:315-464-6117
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:UPSTATE MEDICAL UNIVERSITY - DEPARTMENT OF UROLOGY
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-1500
Practice Address - Fax:315-464-6117
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2015-05-17
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Provider Licenses
StateLicense IDTaxonomies
NY2796172088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology