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Individual
KRISTIN MARIE MASSIMO
Active
Individual
KRISTIN MARIE MASSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00437800
NJ
363A00000X
Physician Assistant
Primary
AO004787
PA
363A00000X
Physician Assistant
PA08773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25MP00437800
—
NJ
Enumeration date
01/15/2014
Last updated
10/14/2025
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