Provider Demographics
NPI:1275792178
Name:NEFF-MASSULLO, JODDI M (MD)
Entity Type:Individual
Prefix:DR
First Name:JODDI
Middle Name:M
Last Name:NEFF-MASSULLO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1081 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3435
Mailing Address - Country:US
Mailing Address - Phone:614-537-7641
Mailing Address - Fax:614-350-3890
Practice Address - Street 1:15 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9301
Practice Address - Country:US
Practice Address - Phone:614-800-7095
Practice Address - Fax:614-350-3890
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.090851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine