Individual
MR. VINCENT DECATALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPO,NJ LICENCE PO
Contact information
Practice address
1025 W SAINT GEORGES AVE, LINDEN, NJ 07036-6134
(908) 925-0616
Mailing address
1025 W SAINT GEORGES AVE, LINDEN, NJ 07036-6134
(908) 925-0616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45PO00000600
NJ
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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