Vincent Destasio Do Llc

LBN: Vincent Destasio Do Llc
Vincent Destasio Do Llc is an health care organization with primary practice located at 1851 Hooper Ave Suite A, Toms River NJ 08753-8150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Vincent Destasio Do Llc can be contacted via phone (732) 255-6566, or through Back, Andrea via phone (732) 255-6566.

Contact Information

Primary practice address
1851 Hooper Ave Suite A Toms River NJ 08753-8150
Phone: (732) 255-6566
Fax: (732) 255-3085
Website:
Map and Directions
Authorized official contact:
Name: Back, Andrea
Phone: (732) 255-6566

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1801829890
LBN Legal business name Vincent Destasio Do Llc
DBA Doing business as
Authorized official Back, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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