Individual
DR. DEJAN VUCKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09757500
NJ
207L00000X
Anesthesiology Physician
MD420916
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082163
—
NJ
05
—
101415693
—
PA
Enumeration date
07/13/2006
Last updated
04/18/2018
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