Individual
VINCENT CODELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1050 GALLOPING HILL RD, SUITE 102, UNION, NJ 07083-7983
(908) 688-1550
(908) 688-1552
Mailing address
1050 GALLOPING HILL RD, SUITE 102, UNION, NJ 07083-7983
(908) 688-1550
(908) 688-1552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB074566
NJ
Other
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
Enumeration date
08/16/2005
Last updated
07/08/2007
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