# VINCENT CODELLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134111248
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MB074566 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 07/08/2007

## 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 |