Individual
JOHN MICHAEL MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7900 SHRADER RD, HENRICO, VA 23294-4215
(804) 288-1953
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
(804) 288-1953
(804) 282-1046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005292
VA
Other
Enumeration date
08/03/2016
Last updated
04/16/2026
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