Healthcare Provider Details

I. General information

NPI: 1609401736
Provider Name (Legal Business Name): MASON ROBERT MARSHALL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 TERRACE STREET PATHOLOGY EDUCATION OFFICE A711
PITTSBURGH PA
15270-4494
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-802-6014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number82022-21
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: