Ziccardi, Vincent

Ziccardi, Vincent is an individual health care provider with primary practice located at 110 Bergen St Room B-854, Newark NJ 07103-2495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Ziccardi, Vincent can be contacted via phone (973) 972-7462.

Contact Information

Primary practice address
110 Bergen St Room B-854 Newark NJ 07103-2495
Phone: (973) 972-7462
Fax: (973) 972-7322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 25MA06705100 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI01997900 New Jersey

Profile Details

NPI number 1942262548
LBN Legal business name Ziccardi, Vincent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 9th, 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 1942262548 NPPES
New Jersey MEDICAID 7827806

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