Individual
THOMAS R. VECCHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3399 FIRST AVENUE, SAN DIEGO, CA 92103
(619) 297-4433
(619) 297-9247
Mailing address
3399 FIRST AVENUE, SAN DIEGO, CA 92103
(619) 297-4433
(619) 297-9247
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
C30357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C303570
—
CA
Enumeration date
10/03/2006
Last updated
03/24/2014
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