Individual
DR. SAMUEL JOHN VASELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2602 ISAAC DR, GOLDSBORO, NC 27530-8117
(703) 965-8088
Mailing address
2602 ISAAC DR, GOLDSBORO, NC 27530-8117
(703) 965-8088
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SL0535
NV
207L00000X
Anesthesiology Physician
Primary
201500496
NC
208D00000X
General Practice Physician
0102202255
VA
Other
Enumeration date
02/29/2008
Last updated
06/16/2015
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