Individual
FRANK A. VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 ROUTE 73 N, STE I, MARLTON, NJ 08053-1283
(856) 983-7100
Mailing address
801 ROUTE 73 N, SUITE I, MARLTON, NJ 08053-1283
(856) 983-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MB05399000
NJ
2084P0800X
Psychiatry Physician
OS-007105-E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MB05399000
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
OS-007105-E
PA
Other
Enumeration date
11/15/2006
Last updated
10/10/2016
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