Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Massa Zantah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609217694

Massa Zantah is a Pulmonary Disease in Farmington, Connecticut. Qualified in 2012, 14 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

263 Farmington Ave
Farmington, CT 06032-1956
Phone: (860) 679-6296
Fax: (860) 679-4613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD469959 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609217694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2013
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address3401 N Broad St, Philadelphia, PA 19140-5103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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