Individual
ELIZABETH L MASSIMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1008 N PROVIDENCE RD, MEDIA, PA 19063-2101
(610) 892-8090
(610) 892-8040
Mailing address
1008 N PROVIDENCE RD, MEDIA, PA 19063-2101
(610) 892-8090
(610) 892-8040
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003395L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600367
—
PA
Enumeration date
01/24/2006
Last updated
03/23/2009
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