Massimo G Abbruzzese
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tukwila, WA
NPI 1164048427 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1164048427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6400 Southcenter Blvd
Tukwila, WA 98188-2547 - Phone
- (206) 901-2000
- Fax
- (206) 901-2010
- NPI assigned
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000
Other providers in Tukwila, WA
- 1St Medical LLC
- Boualoy Manivanh Abando
- Elliott Abbott
- Isra Abdi
- Nawal Abdi
- Nora Ahmed Abdi
- Ugbad Abdi
- Able Pediatric Health
All providers in Tukwila, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.