Individual
DR. REGI JOSE VADASSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
324 N QUEEN ST, KINSTON, NC 28501-4932
(845) 873-9928
Mailing address
712 TREVISO LN, APEX, NC 27502-2185
(845) 873-9928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-02764
NC
207R00000X
Internal Medicine Physician
Primary
230456
NY
Other
Enumeration date
07/02/2006
Last updated
12/21/2022
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