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1386404564
MICHAEL EDWARD VASSOLAS
PHILADELPHIA, PA
NPI
1386404564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
MICHAEL EDWARD VASSOLAS DO
4170 CITY AVE
PHILADELPHIA, PA 19131-1610
Phone number: 215-871-6100
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Mailing Address
MICHAEL EDWARD VASSOLAS DO
6408 SENTINEL RDG
NORRISTOWN, PA 19403-5281
Phone number: 518-461-8269
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