NPI

Alfredo S Masullo Md Pa

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2005-07-29
Last updated
2007-12-19

Specialties

Licenses

License NJ
MA032378

Location

Practice location
120 Prospect Ave
City
Hackensack NJ
Postal code
07601-2256
Phone
(201) 488-0707

Organization contact

Name
ALFREDO MASULLO
Title
President
Phone
2014880707

Medicare

PECOS
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LEIE

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