M. MICHAEL MASSUMI M.D. P.A. NPI 1295065407

NPI Information

M. MICHAEL MASSUMI, M.D., P.A. is a medical specialty clinic center in Towson, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). M. MICHAEL MASSUMI, M.D., P.A. NPI is 1295065407. The provider is registered as an organization entity type.

The provider's business location address is:

660 KENILWORTH DR
STE 200
TOWSON, MD
ZIP 21204-313
Phone: (410) 825-5905
Fax: (410) 825-7712

The provider's authorized official is Mehrdad Michael Massumi .
The authorized official title is President / Owner and has the following contact phone number (410) 825-5905.

The enumeration date for this NPI number is 1/11/2010 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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