Organization
VINCENT G. FIETTI, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT G FIETTI JR. M.D. (CEO)
(973) 779-7361
Entity
Organization
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 6E, NEW YORK, NY 10025-1737
(973) 779-7361
(973) 779-7385
Mailing address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
117102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117102
LICENSE
NY
Enumeration date
06/23/2011
Last updated
06/23/2011
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