Individual
ROBERT MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
42 NASHUA ROAD, LONDONDERRY, NH 03053
(603) 413-6800
(603) 413-6803
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
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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