Provider Demographics
NPI:1841316924
Name:FRANCIS MASE M.D., P.A.
Entity type:Organization
Organization Name:FRANCIS MASE M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:NJEUMA
Authorized Official - Last Name:MASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-762-5656
Mailing Address - Street 1:209 SULKY CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2268
Mailing Address - Country:US
Mailing Address - Phone:302-529-1962
Mailing Address - Fax:302-762-5699
Practice Address - Street 1:700 W LEA BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2500
Practice Address - Country:US
Practice Address - Phone:302-762-5656
Practice Address - Fax:302-762-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0005418208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEH11764Medicare UPIN