Individual
STEVEN FRANCIS MASSUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(860) 919-8801
Mailing address
171 GRANDVIEW AVE, STE 104, WATERBURY, CT 06708-2517
(203) 753-2048
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
1066
CT
Other
Enumeration date
04/24/2017
Last updated
08/17/2020
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