Organization
BRUCE MASSAU, D.O., P.C.
Active
Other names
Pain Managment Consortium of Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MASSAU D.O. A PROF (PRESIDENT)
(614) 252-1500
Entity
Organization
Contact information
Practice address
393 E TOWN ST, SUITE 109, COLUMBUS, OH 43215-4741
(614) 252-1500
(614) 252-1685
Mailing address
393 E TOWN ST, SUITE 109, COLUMBUS, OH 43215-4741
(614) 252-1500
(614) 252-1685
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472662
—
OH
Enumeration date
01/04/2008
Last updated
04/05/2011
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