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NPI Code Detail

MEDICARE: CHRISTINE MASTERSON M.D.

MEDICARE: CHRISTINE MASTERSON M.D.
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
1207V00000XObstetrics & Gynecology PhysicianMA66443NJ

General Provider Information

NPI Number : 1871536813
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MASTERSON M.D.
Provider Business Mailing Address
First Line : 1 DIAMOND HILL RD
Second Line : SUMMIT MEDICAL GROUP
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number : 908-273-4300
Fax Number : 908-219-3011
Provider Business Practice Location Address
First Line : 890 MOUNTAIN AVE
Second Line :
City : NEW PROVIDENCE
State : NJ
Zip : 07974-1218
Country : US
Telephone Number : 908-277-8799
Fax Number : 908-608-2376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/11/2019

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