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NPI Code Detail

MEDICARE: DR. ADDA A MASSAH PHARMD

MEDICARE: DR. ADDA A MASSAH PHARMD
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
1183500000XPharmacist24405MD
2183500000XPharmacistPH10002442DC

General Provider Information

NPI Number : 1043815913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADDA A MASSAH PHARMD
Provider Business Mailing Address
First Line : 20051 MATTINGLY TER
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20879-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2226 WISCONSIN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-4102
Country : US
Telephone Number : 202-944-8671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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