Jean Masoso
Family Doctor
1110 Annapolis Rd
Odenton
, Maryland 21113-1602
Jean Masoso
Family Doctor
1110 Annapolis Rd
Odenton
, Maryland 21113-1602
(804) 968-5700
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jean Masoso
- 5000 Cox Rd
- Glen Allen, VA
- Zip : 23060-9263
- Phone : (804) 968-5700
Second Address
- Jean Masoso
- 1110 Annapolis Rd
- Odenton, MD
- Zip : 21113-1602
- Fax : (443) 351-3918
- Phone : (443) 351-3917
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FAQs
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What type of doctor is Jean Masoso
In what state does Jean Masoso practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | D0081396 | MD |
National Provider Identifier
| NPI | 1003251158 |
|---|---|
| Provider Name | Jean Masoso |
| First Address | Glen Allen, VA 23060-9263 |
| Second Address | Odenton, MD 21113-1602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2013 |
| Last Update Date | 06/04/2018 |
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.