NPI 1013494954

Laura Alexandra Masterson, CRNP

Practitioner Pediatric Urology Physician Philadelphia, PA

Practice location

Address: 3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone: (215) 590-1000
Mailing address: 600 Commodore CT Unit 2604, Philadelphia, PA 19146-5251

Registered specialties

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence SP018846 (PA)

Other Urology providers in Pennsylvania →

Registry record

NPI: 1013494954
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2018
Record last updated: 24 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.