Individual
PETER JOSEPH MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301106075
MI
2085R0204X
Vascular & Interventional Radiology Physician
036.149282
IL
Other
Enumeration date
04/03/2014
Last updated
07/12/2020
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