Organization
ALFREDO S MASULLO MD PA
Active
Organization
ALFREDO S MASULLO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO S MASULLO MD (PRESIDENT)
(201) 488-0707
Entity
Organization
Contact information
Practice address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 488-0707
Mailing address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 488-0707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA032378
NJ
Other
Enumeration date
07/29/2005
Last updated
12/19/2007
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