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Individual
FORTUNEE MASSUDA
Active
Individual
FORTUNEE MASSUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016003113
IL
213E00000X
Podiatrist
07000479A
IN
213EP0504X
Public Medicine Podiatrist
016003113
IL
213EP0504X
Public Medicine Podiatrist
07000479A
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
016-003113
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
07000479A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003113
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07000479A
IN
213ES0131X
Foot Surgery Podiatrist
016-003113
IL
213ES0131X
Foot Surgery Podiatrist
07000479A
IN
Other
Enumeration date
06/23/2005
Last updated
11/12/2009
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