Provider Demographics
NPI:1154890556
Name:MASSIVE BIO INC
Entity type:Organization
Organization Name:MASSIVE BIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BUSINESS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-940-9744
Mailing Address - Street 1:90 WEST ST APT 12M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-1070
Mailing Address - Country:US
Mailing Address - Phone:844-627-7246
Mailing Address - Fax:844-742-8837
Practice Address - Street 1:121 FRIENDS LN STE 100
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3424
Practice Address - Country:US
Practice Address - Phone:844-627-7426
Practice Address - Fax:844-742-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty