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Individual

DR. ALFREDO A MASSA SUCCAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(763) 263-4500
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
(614) 293-3820

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35131098
OH
2084P0800X
Psychiatry Physician
Primary
64544
MN

Other

Enumeration date
08/27/2007
Last updated
07/21/2022
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