Provider Demographics
NPI:1386287761
Name:MASSING, MARIE-JOSEE O (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIE-JOSEE
Middle Name:O
Last Name:MASSING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 WINDMILL LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-6054
Mailing Address - Country:US
Mailing Address - Phone:240-383-8872
Mailing Address - Fax:
Practice Address - Street 1:316 TALBOTT AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4321
Practice Address - Country:US
Practice Address - Phone:301-617-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100003435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist