Vecchio, Lisa Caroline

Vecchio, Lisa Caroline is an individual health care provider with primary practice located at 20 Valley St , South Orange NJ 07079-2887. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Vecchio, Lisa Caroline can be contacted via phone (973) 762-2606.

Contact Information

Primary practice address
20 Valley St South Orange NJ 07079-2887
Phone: (973) 762-2606
Fax: (973) 762-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA61031 New Jersey

Profile Details

NPI number 1285778449
LBN Legal business name Vecchio, Lisa Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 9th, 2007 - about 17 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 1285778449 NPPES
New Jersey MEDICAID 6341802

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