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Individual

DR. JOSEPH E VACCARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1419 CEDAR RD, SUITE 101, CHESAPEAKE, VA 23322-7492
(757) 842-6180
(757) 842-6181
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049827
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005616620
VA
Enumeration date
02/21/2006
Last updated
07/01/2011
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