Individual
DR. MICHAEL VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 STIRLING RD, WATCHUNG, NJ 07069-5900
(908) 769-0912
Mailing address
40 STIRLING RD, WATCHUNG, NJ 07069-5900
(908) 769-0912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB05947200
NJ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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