Individual
DR. SHAVONNE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DEPARTMENT OF NEUROLOGY, MAIN HOSPITAL, PHILADELPHIA, PA 19104-4319
(215) 590-1722
Mailing address
3401 CIVIC CENTER BLVD, DEPARTMENT OF NEUROLOGY, MAIN HOSPITAL, PHILADELPHIA, PA 19104-4319
(215) 590-1722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT195707
PA
2084N0400X
Neurology Physician
Primary
MD451288
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2009
Last updated
06/30/2014
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