Individual
DR. VINCENT J PACILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
515 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1320
(856) 939-6196
Mailing address
515 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1320
(856) 939-6196
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00579400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0696713000
AMERIHELTH PIN
NJ
01
—
2271828000
AMERIHEALTH GROUP
NJ
01
—
3480975
AETNA
NJ
01
—
P00058776
RAILROAD
NJ
01
—
P3118812
OXFORD
NJ
Enumeration date
06/13/2006
Last updated
09/20/2012
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