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NPI Code Detail

MEDICARE: ELIZABETH W MASSELLA MD

MEDICARE: ELIZABETH W MASSELLA 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
1208000000XPediatrics PhysicianMD045254EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356322945
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH W MASSELLA MD
Provider Business Mailing Address
First Line : 560 STEUBENVILLE PIKE
Second Line :
City : BURGETTSTOWN
State : PA
Zip : 15021-8539
Country : US
Telephone Number : 724-414-5020
Fax Number : 724-414-5071
Provider Business Practice Location Address
First Line : 560 STEUBENVILLE PIKE
Second Line :
City : BURGETTSTOWN
State : PA
Zip : 15021-8539
Country : US
Telephone Number : 724-414-5020
Fax Number : 724-414-5071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 09/16/2013

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