Individual
DAVID EDWARD MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
136 ROUTE 73, VOORHEES, NJ 08043-9598
(877) 388-2778
(856) 424-7529
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26NO11335800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00258700
NJ
367500000X
Certified Registered Nurse Anesthetist
26NO11335800
NJ
Other
Enumeration date
10/26/2007
Last updated
09/11/2024
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