Individual
CARLA MARIE VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 SOUTHWEST AVE, JAMESTOWN, RI 02835-1120
(401) 423-2616
(401) 423-3485
Mailing address
4 RANGER CT, JAMESTOWN, RI 02835-1837
(401) 423-2616
(401) 423-3485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10354
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171565
—
MA
Enumeration date
01/15/2006
Last updated
04/23/2012
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