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Individual
DR. VINCENT GERALD SACCO
Active
Individual
DR. VINCENT GERALD SACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007248L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0522649000
KEYSTONE
—
01
—
2298615
AETNA
—
01
—
D798077001
AMERIHEALTH
—
Enumeration date
10/19/2005
Last updated
01/24/2014
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