| Dr Michael Vassallo, | |
|
40 Stirling Rd, Watchung, NJ 07069-5900 | |
| (908) 769-0912 | |
| Not Available |
| Full Name | Dr Michael Vassallo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 40 Stirling Rd, Watchung, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093729204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MB05947200 (New Jersey) | Primary |
| Entity Name | Shore Health Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902944416 PECOS PAC ID: 0547254047 Enrollment ID: O20040408000832 |
| Entity Name | Bergen Anesthesia And Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548398704 PECOS PAC ID: 1951371707 Enrollment ID: O20040728001526 |
| Entity Name | Riverview Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194722694 PECOS PAC ID: 0749295814 Enrollment ID: O20060210000054 |
| Entity Name | Allied Digestive Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Vassallo, 40 Stirling Rd, Watchung, NJ 07069-5900 Ph: (908) 769-0912 | Dr Michael Vassallo, 40 Stirling Rd, Watchung, NJ 07069-5900 Ph: (908) 769-0912 |
Kishori Shah, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 40 Stirling Rd, Ste., 205, Watchung, NJ 07069 Phone: 908-769-1084 Fax: 908-769-4139 | |
Rebecca A Varela, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 40 Stirling Rd, Watchung, NJ 07069 Phone: 908-803-4762 | |
Durgesh Mankikar, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 40 Stirling Rd, Ste., 205, Watchung, NJ 07069 Phone: 908-769-1084 Fax: 908-769-4139 |