Individual
ROBERT MASSEY
Active
Individual
ROBERT MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0286
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042892
BMC HEALTHNET PLAN
—
05
—
30330237
—
NH
05
—
434457299
—
ME
01
—
P00166939
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
11/22/2023
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