institution
M. Michael Massumi, M.d., P.a.
Medical Specialty Clinic/Center in Towson, Maryland
NPI 1295065407

M. Michael Massumi, M.d., P.a. is a Medical Specialty Clinic/Center based in Towson, MD and is specialized in Medical Specialty. M. Michael Massumi, M.d., P.a. practices in Towson, MD. The NPI Number for M. Michael Massumi, M.d., P.a. is 1295065407 and holds a License No. D0032831 (Maryland).

The current practice location address for M. Michael Massumi, M.d., P.a. is 660 Kenilworth Dr, Towson, MD and can be reached out via phone at 410-825-5905 and via fax at 410-825-7712.

Location: 660 Kenilworth Dr, Towson, MD, 21204-2313
institution
Provider Profile Details
NPI Number
1295065407
Provider Name
M. Michael Massumi, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
660 Kenilworth Dr, Towson, MD, 21204-2313
Phone Number
410-825-5905
Fax Number
410-825-7712
Provider Enumeration Date
01/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4133322 01 AETNA
40162901 01 MD CAREFIRST BLUE CROSS BLUE SHIELD
E6580000 01 CAREFIRST BLUECHOICE
025221 01 EMPLOYEE HEALTH PLANS
2300832 01 MD EVERCARE
2300008 01 MD AMERICHOICE
25933 01 MD OPTIMUM CHOICE
25933 01 MD MDIPA
4422MM 01 MD CAREFIRST BLUE CROSS BLUE SHIELD
091911000 05 MD
25933 01 ONE NET PPO
03818011 01 MD UNITED HEALTHCARE
25933 01 MD MAMSI LIFE
426194 01 COVENTRY
institution
Provider Business Practice Location Address Details
Address
660 Kenilworth Dr
City
State
Zip
21204-2313
Phone Number
410-825-5905
Fax Number
410-825-7712
person
Provider Business Mailing Address Details
Address
660 Kenilworth Dr
City
State
Zip
21204-2313
Phone Number
410-825-5905
Fax Number
410-825-7712
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
D0032831 (Maryland)
Definition
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).
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