Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRES ANTONIO MASCARO PANKOVA, M.D.
Active Sole ProprietorANDRES ANTONIO MASCARO PANKOVA, M.D. is a Plastic Surgery healthcare provider located in DARBY, Pennsylvania. NPI 1922397116 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · DARBY, PA
Registration Details
- NPI Number
- 1922397116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2011 (15.369438509159 yrs)
- Last Updated
- Jan 10, 2018
- Licenses
-
25MA08865700 (NJ)MT189530 (PA)149967 (CA)149967 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 LANSDOWNE AVEDEPT. OF SURGERYDARBY, PA, 190231291Browse PA providers · Browse ZIP 19023
- Phone
- 2154213494
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.