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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083682017 NPPES
New Jersey MEDICAID 7406100

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