Individual
MR. DAVID VRSALOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
552 VALLEY RD, MONTCLAIR, NJ 07043-1805
(973) 509-0827
(973) 509-0877
Mailing address
552 VALLEY RD, MONTCLAIR, NJ 07043-1805
(973) 509-0827
(973) 509-0877
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00084600
NJ
225100000X
Physical Therapist
Primary
40QA01116800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11314607
CAQH ID #
NJ
01
—
2254500
UNITED HEALTH PROVIDER #
NJ
01
—
3695912
AETNA HMO PROVIDER #
NJ
01
—
7996424
AETNA PPO PROVIDER #
NJ
01
—
P3544996
OXFORD PROVIDER #
NJ
Enumeration date
02/21/2007
Last updated
10/24/2011
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