MARIO MASSULLO, D.O.
Internal Medicine - Cardiovascular Disease
Active
Individual
NPI: 1043228158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | 036082059 (IL) |
| Internal Medicine - Interventional Cardiology | 207RI0011X | No | 036082059 (IL) |
| Internal Medicine - Cardiovascular Disease | 207RC0000X | Yes | 036082059 (IL) |
Frequently Asked Questions
NPI 1043228158 is the National Provider Identifier for MARIO MASSULLO, D.O., a Internal Medicine - Cardiovascular Disease provider located in Kankakee, IL. This NPI was enumerated on August 4, 2006.
MARIO MASSULLO, D.O. practices at 1710 W. COURT ST., Kankakee, IL 60901.
Quick Facts
- NPI
- 1043228158
- Type
- Individual
- Enumerated
- Aug 4, 2006
- Last Updated
- Oct 27, 2021
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