Individual
DR. LUISA F MASSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3346 PAPER MILL RD, PHOENIX, MD 21131-1419
(410) 666-4060
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D36437
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286181000
—
MD
01
—
KJ24/52249007
CAREFIRST MARYLAND GBMC
MD
01
—
S1420018
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/02/2006
Last updated
12/21/2011
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