Dr. Justin Lee Massengale
Neurosurgeon
725 Albany St Shapiro 7, Suite C
Boston
, Massachusetts 02118-2526
Dr. Justin Lee Massengale
Neurosurgeon
725 Albany St Shapiro 7, Suite C
Boston
, Massachusetts 02118-2526
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Justin Lee Massengale
- 720 Harrison Ave Dob 503
- Boston, MA
- Zip : 02118-2371
- Phone :
Second Address
- Dr. Justin Lee Massengale
- 725 Albany St Shapiro 7, Suite C
- Boston, MA
- Zip : 02118-2526
- Fax : (617) 638-8979
- Phone : (617) 638-8992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 238944 | MA |
National Provider Identifier
| NPI | 1003096736 |
|---|---|
| Provider Name | Dr. Justin Lee Massengale |
| First Address | Boston, MA 02118-2371 |
| Second Address | Boston, MA 02118-2526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2007 |
| Last Update Date | 22/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110082708A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.