Provider Demographics
NPI:1194893701
Name:MASI, DOUGLAS MORRISON (DMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:MORRISON
Last Name:MASI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WINFIELD TER
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08853-4194
Mailing Address - Country:US
Mailing Address - Phone:908-369-6290
Mailing Address - Fax:
Practice Address - Street 1:64 E SOMERSET ST
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2113
Practice Address - Country:US
Practice Address - Phone:908-725-1525
Practice Address - Fax:908-725-4890
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01202500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist