Massimini, Elizabeth L

Massimini, Elizabeth L is an individual health care provider with primary practice located at 1008 N Providence Rd , Media PA 19063-2101. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Massimini, Elizabeth L can be contacted via phone (610) 892-8090.

Contact Information

Primary practice address
1008 N Providence Rd Media PA 19063-2101
Phone: (610) 892-8090
Fax: (610) 892-8040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC003395L Pennsylvania

Profile Details

NPI number 1922078765
LBN Legal business name Massimini, Elizabeth L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922078765 NPPES
Pennsylvania MEDICAID 01600367

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