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NPI Code Detail

MEDICARE: DR. CYNTHIA MASALUNGA MD

MEDICARE: DR. CYNTHIA MASALUNGA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist11403NV

General Provider Information

NPI Number : 1093770513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA MASALUNGA MD
Provider Business Mailing Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4119
Country : US
Telephone Number : 702-671-8525
Fax Number :
Provider Business Practice Location Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4119
Country : US
Telephone Number : 702-671-8525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CYNTHIA MASALUNGA MD” Practice Location

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