Individual
STORM MASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3940 LOCUST LN, HARRISBURG, PA 17109-4023
(717) 545-5787
Mailing address
3940 LOCUST LN, HARRISBURG, PA 17109-4023
(717) 545-5787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2022
Last updated
03/27/2025
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