Individual
CHRISTINA VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
62 S FULLERTON AVE, MONTCLAIR, NJ 07042-2676
(973) 706-2171
(973) 780-9688
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
26NJ00382400
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00382400
NJ
363LF0000X
Family Nurse Practitioner
26NJ00382400
NJ
Other
Enumeration date
06/18/2012
Last updated
10/13/2023
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