Individual
PHILIP N. MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8629 SUDLEY RD, SUITE 102, MANASSAS, VA 20110-4590
(703) 361-3030
(703) 361-2687
Mailing address
PO BOX 1067, MANASSAS, VA 20108-1067
(703) 361-3030
(703) 361-2687
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
010134117
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6688-0008
CAREFIRS
VA
05
—
7237791
—
VA
05
—
7237812
—
VA
05
—
7247630
—
VA
05
—
7270160
—
VA
Enumeration date
01/19/2006
Last updated
11/01/2011
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