Individual
DANE MASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-8861
Mailing address
NMRTU NAVSTA NORFOLK, 1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-9006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017639
NY
Other
Enumeration date
07/10/2014
Last updated
01/28/2025
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