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Organization
MD MASSOUD LLC
Active
Organization
MD MASSOUD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MASSOUD M.D. (OWNER)
(814) 475-8700
Entity
Organization
Contact information
Practice address
321 MAIN ST, SUITE 3G, JOHNSTOWN, PA 15901-1632
(814) 535-7576
(814) 536-1369
Mailing address
152 WYNDERMERE DRIVE, JOHNSTOWN, PA 15905
(814) 535-7576
(814) 536-1369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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