ANDRES ANTONIO MASCARO PANKOVA

DARBY, PA
NPI1922397116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208200000X Plastic Surgery
(Licence: CA  149967)
Additional Taxonomies208600000X Surgery
(Licence: NJ  25MA08865700)
208600000X Surgery
(Licence: PA  MT189530)
208600000X Surgery
(Licence: CA  149967)
Enumeration Date2011-03-29
Last Update Date2018-01-10
Business Address
ANDRES ANTONIO MASCARO PANKOVA M.D.
1500 LANSDOWNE AVE DEPT. OF SURGERY
DARBY, PA 19023-1291
Phone number: 215-421-3494
Mailing Address
ANDRES ANTONIO MASCARO PANKOVA M.D.
330 CEDAR ST FL 3 DEPT. OF PLASTIC SURGERY
NEW HAVEN, CT 06510-3218
Phone number: 215-421-3494