Individual
ALFREDO SALVATORE MASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 488-0707
(201) 488-0708
Mailing address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 488-0707
(201) 488-0708
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA032378
NJ
207ND0900X
Dermatopathology Physician
MA032378
NJ
207NP0225X
Pediatric Dermatology Physician
MA032378
NJ
207NS0135X
Procedural Dermatology Physician
MA032378
NJ
Other
Enumeration date
01/22/2008
Last updated
01/28/2008
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