Doctor Name: | ROBERT MASSEY |
NPI Number: | 1003825407 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 0286 |
Business Practice Address: | 29 Northwest Blvd Nashua, NH - 030634068 |
Business Phone Number: | 6035772273 |
Business Fax Number: | 6035795191 |
Mailing Address: | 29 Northwest Blvd, NASHUA |
State: | NH |
Postal Code: | 030634068 |
Phone Number: | 6035772273 |
Fax Number: | 6035795191 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |