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BARBARA VASSALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
16 ROOSEVELT DRIVE, LAUREL SPRINGS, NJ 08021
(856) 232-6058
(856) 232-8260
Mailing address
50 TURN HILL DRIVE, WILLINGBORO, NJ 08046-3724

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0034000021
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8543208
NJ
Enumeration date
11/21/2006
Last updated
10/11/2023
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