Individual
DR. MALIK ALI MASSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3714
(856) 679-0537
(856) 673-0538
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10415900
NJ
207R00000X
Internal Medicine Physician
MD465625
PA
Other
Enumeration date
11/07/2013
Last updated
02/21/2022
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