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NPI Code Detail

MEDICARE: ROBERT A MASSA MD

MEDICARE:   ROBERT A MASSA  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
1207R00000XInternal Medicine Physician33215CO

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 : 1427095421
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A MASSA MD
Provider Business Mailing Address
First Line : 1606 PRAIRIE CENTER PKWY
Second Line : SUITE 370
City : BRIGHTON
State : CO
Zip : 80601-4004
Country : US
Telephone Number : 303-659-4476
Fax Number : 303-659-4508
Provider Business Practice Location Address
First Line : 1606 PRAIRIE CENTER PKWY
Second Line : SUITE 370
City : BRIGHTON
State : CO
Zip : 80601-4004
Country : US
Telephone Number : 303-659-5800
Fax Number : 303-659-5156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 03/07/2014

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