Individual
DR. JAIME L MASSUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN-STANTON RD, NEWARK, DE 19718-0001
(302) 733-1042
Mailing address
1115 W 8TH ST, WILMINGTON, DE 19806-4605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AT2887175EM0606
DE
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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