Individual
JACK MASUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-1544
(434) 924-9333
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101286066
VA
207RX0202X
Medical Oncology Physician
Primary
0101286066
VA
Other
Enumeration date
03/29/2019
Last updated
08/28/2025
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