Dr. John J Vaccaro, MD
Psychiatry & Neurology, Neurology in Glen Ridge, NJ. Individual provider (NPI-1).
NPI number1083682017
StatusActive
Last updated in NPPESMay 13, 2015
Details
- NPI
- 1083682017
- Entity type
- Individual (NPI-1)
- Name
- Dr. John J Vaccaro
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2006
- Last updated
- May 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MA65687 | NJ | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 195112 | NY |
Practice location
230 Sherman AveGlen Ridge, NJ 07028-1529
Phone 973-743-9555 · Fax 973-743-7663
Mailing address
230 Sherman AveGlen Ridge, NJ 07028-1529
Phone 973-743-9555 · Fax 973-743-7663
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