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Individual

ZACHARY CHRISTOPHER VASOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3131
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3282

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN701204
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN701204
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103821252
PA
01
1H8891
MEDICARE
PA
Enumeration date
06/10/2020
Last updated
03/11/2024
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