Massry, Wafic A.

Massry, Wafic A. is an individual health care provider with primary practice located at 1003 S 5Th St , Tacoma WA 98405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Massry, Wafic A. can be contacted via phone (253) 403-2551.

Contact Information

Primary practice address
1003 S 5Th St Tacoma WA 98405
Phone: (253) 403-2551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD45016 Washington

Profile Details

NPI number 1740377530
LBN Legal business name Massry, Wafic A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 7th, 2018 - about 6 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 1740377530 NPPES
Indiana Other P01170507 RR MEDICARE PTAN
Indiana Other 8B4477 RR MEDICARE PTAN
Indiana Other 000000776266 RR MEDICARE PTAN
Indiana MEDICAID 177085101 RR MEDICARE PTAN
Indiana MEDICAID 201076000 RR MEDICARE PTAN

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