DR. RALPH MASSULLO JR., MD
Dermatology - MOHS-Micrographic Surgery
Active
Individual
NPI: 1104810563
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | No | ME54469 (FL) |
| Dermatology - Dermatopathology | 207ND0900X | No | ME54469 (FL) |
| Dermatology - Procedural Dermatology | 207NS0135X | No | ME54469 (FL) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | Yes | ME54469 (FL) |
Frequently Asked Questions
NPI 1104810563 is the National Provider Identifier for DR. RALPH MASSULLO JR., MD, a Dermatology - MOHS-Micrographic Surgery provider located in Lecanto, FL. This NPI was enumerated on August 31, 2005.
DR. RALPH MASSULLO JR., MD practices at 525 N DACIE PT, Lecanto, FL 34461.
Quick Facts
- NPI
- 1104810563
- Type
- Individual
- Enumerated
- Aug 31, 2005
- Last Updated
- Nov 12, 2022
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DR. MARGARET COLLINS, MD
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MR. BRIAN BONOMO, PAC
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