Individual
MR. VINCENT FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 916-0509
Mailing address
28 WILSON PL, CLOSTER, NJ 07624-2321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00004900
NJ
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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