Provider Demographics
NPI:1821655531
Name:VASATURO, CARMELA (CMF)
Entity Type:Individual
Prefix:
First Name:CARMELA
Middle Name:
Last Name:VASATURO
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8406
Mailing Address - Country:US
Mailing Address - Phone:917-626-3462
Mailing Address - Fax:
Practice Address - Street 1:23 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-8406
Practice Address - Country:US
Practice Address - Phone:917-626-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter