Organization
CELINA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R MASSER MD (PRESIDENT OF CORPORATION)
(419) 586-3113
Entity
Organization
Contact information
Practice address
724 E WAYNE ST, CELINA, HI 45822-0420
(419) 586-3113
(419) 586-6560
Mailing address
PO BOX 420, CELINA, OH 45822-0420
(419) 586-3113
(419) 586-6560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609854
—
HI
01
—
4551168
AETNA
HI
Enumeration date
10/19/2006
Last updated
08/22/2020
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