Individual
MASSAH TENNEH BASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
804 N DUPONT BLVD, MILFORD, DE 19963-1006
(302) 725-3557
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 725-3557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7-0018512
DE
Other
Enumeration date
04/11/2024
Last updated
04/19/2024
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