Organization
DR PETER VACCARO MD OSM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VACCARO MD (OWNER)
(646) 428-4800
Entity
Organization
Contact information
Practice address
55 LAKESIDE DRIVE, BRADFORD, PA 16701-2477
(646) 428-4800
Mailing address
55 LAKESIDE DRIVE, BRADFORD, PA 16701-2477
(646) 428-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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