Doctor Name: | STEVEN VASAS |
NPI Number: | 1023013554 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA-001304-L |
Business Practice Address: | 6th Avenue & Spruce Street West Reading, PA - 196111442 |
Business Phone Number: | 6109884207 |
Business Fax Number: | |
Mailing Address: | 50 Commerce Dr, WYOMISSING |
State: | PA |
Postal Code: | 196103335 |
Phone Number: | 6103728044 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA-001304-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |