| Md Massoud Llc | |
|
321 Main St Suite 3g Johnstown PA 15901-1632 | |
| (814) 535-7576 | |
| (814) 536-1369 |
| Full Name | Md Massoud Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 321 Main St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Samuel Massoud (OWNER) |
| Authorized Official Contact | 8144758700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Massoud Llc 152 Wyndermere Drive Johnstown PA 15905 Ph: (814) 535-7576 | Md Massoud Llc 321 Main St Suite 3g Johnstown PA 15901-1632 Ph: (814) 535-7576 |
| NPI Number | 1164879359 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 6800175324 |
|---|---|
| Medicare Enrollment ID | O20161128000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164879359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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