Provider Demographics
NPI:1821023730
Name:VASSIL, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:VASSIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2320 ROTHSVILLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8215
Mailing Address - Country:US
Mailing Address - Phone:717-721-4800
Mailing Address - Fax:717-626-1613
Practice Address - Street 1:2320 ROTHSVILLE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8215
Practice Address - Country:US
Practice Address - Phone:717-721-4800
Practice Address - Fax:717-626-1613
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD053079L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1517912Medicaid
PAVA692219OtherBLUE SHIELD
PA1517912Medicaid
PAG03577Medicare UPIN