Individual
BRUCE MASSAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO A PROF
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
34003227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472662
—
OH
Enumeration date
09/13/2006
Last updated
07/06/2011
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