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Individual
VINCENT CODELLA
Active
Individual
VINCENT CODELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB074566
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047198
—
NJ
01
—
01000728000
AMERICHOICE
—
01
—
1010599
CIGNA
—
01
—
201213421
BLUE CROSS/BLUE SHIELD
NJ
01
—
201213421002
SAINT BARNABAS HEALTH SYS
—
01
—
2374962000
AMERIHEALTH
—
01
—
2478929
UNITED HEALTHCARE
—
01
—
2K5477
HEALTHNET
—
01
—
3655426
AETNA HMO
—
01
—
60014177
HORIZON NJ HEALTH
—
01
—
7986512
AETNA TRADITIONAL
—
01
—
8221554
GHI
—
01
—
K5482
BLUE CROSS/BLUE SHIELD
NJ
Enumeration date
08/16/2005
Last updated
07/08/2007
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