Individual
ERIK MARK MASSENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107-5109
(800) 331-6634
Mailing address
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107-5109
(800) 331-6634
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD489432
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2021
Last updated
06/23/2025
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