Alfredo S Masullo MD PA
NPI #1336149301 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1336149301
- Entity Type
- Organization
- Organization Name
- Alfredo S Masullo MD PA
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 29, 2005
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 120 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2256
- Phone
- (201) 488-0707
Authorized Official
- Name
- ALFREDO S MASULLO, MD
- Title
- PRESIDENT
- Phone
- (201) 488-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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