| NPI | 1861498560 |
|---|---|
| Professional Name | P D VASSALLUZZO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: PA MD036800L) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MA03395100) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2018-03-17 |