Provider Demographics
NPI:1366930513
Name:OCAMPO-MASCARO, JAVIER (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:OCAMPO-MASCARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CIVIC CENTER BLVD. PERELMAN CENTER FOR ADVANCED ME
Mailing Address - Street 2:4TH FLOOR, WEST PAVILION, ENDOCRINOLOGY SUITE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-662-2300
Mailing Address - Fax:
Practice Address - Street 1:3400 CIVIC CENTER BLVD. PERELMAN CENTER FOR ADVANCED ME
Practice Address - Street 2:4TH FLOOR, WEST PAVILION, ENDOCRINOLOGY SUITE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program