Vaccaro, John J
Vaccaro, John J is an individual health care provider with primary practice located at 230 Sherman Ave , Glen Ridge NJ 07028-1529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Vaccaro, John J can be contacted via phone (973) 743-9555.Contact Information
Primary practice address
230 Sherman Ave
Glen Ridge NJ 07028-1529
Phone: (973) 743-9555
Fax: (973) 743-7663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MA65687 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 195112 | New York |
Profile Details
| NPI number | 1083682017 |
|---|---|
| LBN Legal business name | Vaccaro, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | May 13th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083682017 | NPPES |
| New Jersey | MEDICAID | 7406100 |
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