Stephen J. Massicotte, M.d., P.c.
NPI #1043353907 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1043353907
- Entity Type
- Organization
- Organization Name
- Stephen J. Massicotte, M.d., P.c.
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jul 26, 2014
Practice Location
- Address
- 3955 EAGLE CREEK PKWY
- Address 2
- SUITE C
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46254-5615
- Phone
- (317) 280-8410
Authorized Official
- Name
- DR. STEPHEN JOHN MASSICOTTE, M.D.
- Title
- PRESIDENT
- Phone
- (317) 280-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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