Individual
RICHARD W VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 HOLME AVE, SUITE 105, PHILADELPHIA, PA 19152-2029
(215) 335-4944
(215) 331-3619
Mailing address
2701 HOLME AVE, SUITE 105, PHILADELPHIA, PA 19152-2029
(215) 335-4944
(215) 331-3619
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
FMD011148E
PA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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