Individual
DR. BENJAMIN JOSPEH VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9190
Mailing address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9190
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
60079
CT
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD467648
PA
207RC0000X
Cardiovascular Disease Physician
60079
CT
Other
Enumeration date
05/13/2011
Last updated
09/10/2019
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