Individual
CARLOS A VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4010
(609) 537-6168
Mailing address
788 COLUMBUS AVE APT 7K, NEW YORK, NY 10025-5929
(917) 330-5484
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13437
WI
207P00000X
Emergency Medicine Physician
25MA11278900
NJ
207P00000X
Emergency Medicine Physician
Primary
312699
NY
Other
Enumeration date
04/13/2017
Last updated
06/03/2025
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