NPI 1265023808
Anquan Massenburg
Practice location
- Address
- 1108 Coleman St, Raleigh, NC 27610-3860
- Phone
- (984) 867-7347
- Mailing address
- 514 Daniels St STE 193, Raleigh, NC 27605-1317
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1265023808
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jan 2021
- Record last updated
- 2 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.