Individual
DR. DAVID MAURICIO TASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, PATHOLOGY AND LAB MEDICINE MAIL CODE 113, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
1077 LOVELL LN S, ROSEVILLE, MN 55113-4412
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
53493
MN
207ZP0101X
Anatomic Pathology Physician
Primary
53493
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
13352
ND
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
18372
MN
Other
Enumeration date
01/23/2007
Last updated
12/19/2016
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