Justin Lee Massengale in Boston - Neurological Surgery
Justin Lee Massengale - NPI 1003096736
Justin Lee Massengale is a Neurological Surgery in Boston, Massachusetts. Justin Lee Massengale practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Justin Lee Massengale is 1003096736. The last update date is 2015-05-22.
Justin Lee Massengale's current location address is 725 Albany St, Boston, Massachusetts. You can contact this provider via phone number 6176388992 and fax number 6176388979. The mailing address for Justin Lee Massengale is 725 Albany St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin Lee Massengale |
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Address | 725 Albany St, Boston, Massachusetts |
Phone Number | 6176388992 |
Fax Number | 6176388979 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1003096736 |
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Provider Enumeration Date | 2007-11-09 |
Last Updated Date | 2015-05-22 |
Provider Mailing Address Detail
Address | 725 Albany St |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21182526 |
Phone Number | 6176388992 |
Fax Number | 6176388979 |
Provider's Primary Taxonomy Detail
Speciality | Neurological Surgery |
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Taxonomy | 207T00000X |
Licence No | 238944 |
Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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110082708A | MA | -- |
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What is the unique identifier code issued to Justin Lee Massengale by the Centers for Medicare & Medicaid Services?
The Justin Lee Massengale has been assigned the NPI (National Provider Identifier) 1003096736. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Justin Lee Massengale?
The Justin Lee Massengale is physically situated at 725 Albany St, in the city of Boston, state of MA, with the postal code 21182526.
What is Justin Lee Massengale's area of expertise and its corresponding taxonomy classification?
The Justin Lee Massengale's field of specialization is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003096736 to Justin Lee Massengale?
The Centers for Medicare & Medicaid Services originally issued the 1003096736 to Justin Lee Massengale on 2007-11-09.
As of what date were the details pertaining to Justin Lee Massengale last refreshed?
The information related to the Justin Lee Massengale, including its address, specialty, and other relevant details, was last updated on 2015-05-22.
NPI Number: 1902809924
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