Provider Demographics
NPI:1295774198
Name:HASHER-MASCOVETO, WENDY M (DO)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:HASHER-MASCOVETO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8505
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0505
Mailing Address - Country:US
Mailing Address - Phone:856-755-1616
Mailing Address - Fax:856-755-0098
Practice Address - Street 1:1600 HADDON AVE FL 3
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3101
Practice Address - Country:US
Practice Address - Phone:856-988-6260
Practice Address - Fax:856-988-6270
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB060666207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6519105Medicaid
NJ009928OtherAETNA
NJ050046257OtherRAILROAD MEDICARE
NJ0795716000OtherAMERIHEALTH
NJ44607OtherAMERIGROUP
NJ1059957OtherHORIZON NJ HEALTH
NJ222041639OtherTAX ID