JEROME D. MASSENBURG

FORT WAYNE, IN
NPI1811900277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WV  14621)
Enumeration Date2006-08-15
Last Update Date2016-06-20
Business Address
Dr. JEROME D. MASSENBURG M.D.
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Dr. JEROME D. MASSENBURG M.D.
1215 QUARRIER ST
CHARLESTON, WV 25301-0006
Phone number: 304-344-0349
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