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Individual

NZIAVAKE MASIMASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 HOSPITAL DR STE 300, GLEN BURNIE, MD 21061-5884
(410) 837-2050
(866) 629-0091
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(866) 629-0091

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29025
AL
207R00000X
Internal Medicine Physician
Primary
D90885
MD

Other

Enumeration date
07/30/2006
Last updated
05/28/2021
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