Individual
DR. EMMA MASSICOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 SCHOOL ST, SUITE B, MANCHESTER, MA 01944-1700
(978) 526-4800
(978) 526-7179
Mailing address
195 SCHOOL ST, SUITE B, MANCHESTER, MA 01944-1700
(978) 526-4800
(978) 526-7179
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
218964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021196
—
MA
Enumeration date
09/08/2005
Last updated
05/17/2010
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