Provider Demographics
NPI:1730421207
Name:SURRIMASSINI, INC.
Entity type:Organization
Organization Name:SURRIMASSINI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-499-4944
Mailing Address - Street 1:1907 BROUGHTON DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1855
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1907 BROUGHTON DR
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1855
Practice Address - Country:US
Practice Address - Phone:978-335-3462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus