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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942262548 | NPPES |
| New Jersey | MEDICAID | 7827806 |
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