| NPI | 1447454657 |
|---|---|
| Doing Business As | DR. MARIO MASSULLO |
| Entity Type | Organization |
| Authorized Contact | PAT DEVRIES Billing Manager 708-460-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-06-12 |