Mastrocola, Marissa

Mastrocola, Marissa is an individual health care provider with primary practice located at 450 Broadway St # Mc6342 , Redwood City CA 94063-3132. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Mastrocola, Marissa can be contacted via phone (650) 721-1836.

Contact Information

Primary practice address
450 Broadway St # Mc6342 Redwood City CA 94063-3132
Phone: (650) 721-1836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101287702 Virginia

Profile Details

NPI number 1790245884
LBN Legal business name Mastrocola, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2019
Last updated Dec 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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