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NPI Code Detail

MEDICARE: MARIE C. MASON PA

MEDICARE: MARIE C. MASON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA1588ME

General Provider Information

NPI Number : 1508114430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE C. MASON PA
Provider Business Mailing Address
First Line : PO BOX 468
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-0468
Country : US
Telephone Number : 207-474-5121
Fax Number : 207-474-9261
Provider Business Practice Location Address
First Line : 46 FAIRVIEW AVE STE 223
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1481
Country : US
Telephone Number : 207-474-7045
Fax Number : 207-474-5173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 06/10/2026

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Directions to “ MARIE C. MASON PA” Practice Location

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