Provider Demographics
NPI:1417085960
Name:VASSER, JAMES ROY (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ROY
Last Name:VASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 HOSPITAL DRIVE
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589
Mailing Address - Country:US
Mailing Address - Phone:707-554-5331
Mailing Address - Fax:707-642-1095
Practice Address - Street 1:300 HOSPITAL DR
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2574
Practice Address - Country:US
Practice Address - Phone:707-554-5331
Practice Address - Fax:707-642-1095
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA42628207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42628Medicare UPIN