Individual
ALLIE MARIE MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199806
PA
2084N0400X
Neurology Physician
Primary
MD60747487
WA
2084N0400X
Neurology Physician
MT199806
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT199806
PA
Other
Enumeration date
05/25/2011
Last updated
03/17/2018
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