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Stephanie Marie Massa, PA
Medical Physician Assistant in New Bedford, Massachusetts
NPI 1922441575

Stephanie Marie Massa is a Medical Physician Assistant based in New Bedford, MA and is specialized in Medical. Stephanie Marie Massa practices in New Bedford, MA and has the professional credentials of PA. The NPI Number for Stephanie Marie Massa is 1922441575 and holds a License No. PA9107140 (Massachusetts).

The current practice location address for Stephanie Marie Massa is 874 Purchase St, New Bedford, MA and can be reached out via phone at 508-992-6553.

Location: 874 Purchase St, New Bedford, MA, 02740-6232
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Provider Profile Details
NPI Number
1922441575
Provider Name
Stephanie Marie Massa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
874 Purchase St, New Bedford, MA, 02740-6232
Phone Number
508-992-6553
Fax Number
Provider Enumeration Date
04/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA5780 01 MA PA STATE LICENSE
PA9107140 01 FL PHYSICIAN ASSISTANT LICENSE
PA00882 01 RI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
874 Purchase St
City
State
Zip
02740-6232
Phone Number
508-992-6553
Fax Number
person
Provider Business Mailing Address Details
Address
874 Purchase St
City
State
Zip
02740-6232
Phone Number
508-992-6553
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9107140 (Florida)
Definition
Definition to come...
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