Basic Information
| Provider Information | |||||||||
| NPI: | 1417085960 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VASSER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ROY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 HOSPITAL DRIVE | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY | ||||||||
| City: | VALLEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7075545331 | ||||||||
| FaxNumber: | 7076421095 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 HOSPITAL DR | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY | ||||||||
| City: | VALLEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945892574 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7075545331 | ||||||||
| FaxNumber: | 7076421095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZC0500X | A42628 | CA | X | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZP0102X | A42628 | CA | X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.