Dr. Jerome D. Massenburg, MD
Dr. Jerome D. Massenburg, MD is a Psychiatry Physician in Fort Wayne, Indiana. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2121 Lake AveFort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 14621 (WV) |
|---|
Record details
| NPI number | 1811900277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 15, 2006 |
| Last updated in NPPES | June 20, 2016 |
| Mailing address | 1215 Quarrier St, Charleston, WV 25301-0006 |
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