Individual
MATTHEW RICHARD VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07227300
NJ
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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