James Mario Massullo MD

NPI 1689793747 - Surgery - 208600000X

NPI Details
NPI 1689793747
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
5131 BEACON HILL RD
SUITE 230
COLUMBUS OH, 43228-4442, US
Phone (614) 544-1880
Fax (614) 544-1087
Business Location
5131 BEACON HILL RD
SUITE 230
COLUMBUS OH, 43228-4442, US
Phone (614) 544-1880
Fax (614) 544-1087
Toxanomy
Taxonomy Code 208600000X
License State Ohio
License Number 35-091384
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According to our database, Dr. James Mario Massullo MD NPI is 1689793747, taxonomy code is 208600000X and license number is 35-091384, license state is located at Ohio. James Mario Massullo MD physically located at 5131 Beacon Hill Rd, Columbus OH, 43228-4442. NPI Number James Mario Massullo MD has the Individual type.

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1689793747 NPI number is provided on an as is basis without warranty of any kind. 1689793747 is maintained by the National Plan & Provider Enumeration System. The contents of James Mario Massullo MD are for informational purposes only.