Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101039322 | VA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101039322 | VA |
NPI | 1063527323 |
---|---|
Provider Name | Dr. Gita V. Massey |
First Address | Richmond, VA 23291-1745 |
Second Address | Richmond, VA 23298-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 06/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6701116 | (05) | VA |
E58730 | (02) |