Individual
PAUL VINCENT DELL'AQUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 542-2880
(973) 542-2881
Mailing address
339 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 542-2880
(973) 542-2881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05500100
NJ
207R00000X
Internal Medicine Physician
MA55001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4583302
—
NJ
Enumeration date
04/01/2006
Last updated
11/22/2011
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