Individual
DR. JOHN A VACCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 PARKVIEW DR, MILLERSBURG, OH 44654-8949
(330) 674-1200
(330) 674-3320
Mailing address
151 PARKVIEW DR, MILLERSBURG, OH 44654-8949
(330) 674-1200
(330) 674-3320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-7326-V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016642
—
OH
01
—
341774347
TAX ID
OH
Enumeration date
08/11/2005
Last updated
12/22/2010
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