Individual
DR. MARTIN LO SASSO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203
(201) 478-0819
Mailing address
730 HAWTHORNE LN APT 456, CHARLOTTE, NC 28204-2182
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2024-02068
NC
Other
Enumeration date
06/03/2019
Last updated
09/26/2024
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