Individual
PETER J VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 715-8600
(910) 715-8613
Mailing address
7 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 715-8600
(910) 715-8613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9600761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007538
DOCTORS HEALTH PLAN
NC
01
—
060040796
RAILROAD
NC
01
—
69787
MEDCOST
NC
01
—
7526095
CIGNA
NC
01
—
84819
BLUE CROSS/BLUE SHIELD
NC
05
—
8984819
—
NC
01
—
FH2000475
FCC
NC
01
—
N0076C
SC MEDICAID
SC
Enumeration date
05/31/2006
Last updated
06/06/2019
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