Most Relevant Information
Provider Data
| NPI Number: | 1003251158 |
| Provider Name: | JEAN MASOSO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | D0081396 |
Most Important Dates
| Enumeration Date: | 05/02/2013 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
1110 ANNAPOLIS RD
ODENTON
MD
211131602
Practice Location Phone/Fax
| Phone: | 4433513917 |
| Fax: | 4433513918 |
Provider Mailing Location
5000 COX RD
GLEN ALLEN
VA
230609263
Provider Mailing Phone/Fax
| Phone: | 8049685700 |
| Fax: |
Suggested EMR
Family Practice EMR