Individual
DR. SHERYL LISA VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
(908) 301-5430
Mailing address
PO BOX 416457, BOSTON, MA 02241-1735
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08431000
NJ
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
25MA08431000
NJ
Other
Enumeration date
11/01/2008
Last updated
11/02/2020
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