Organization
DR PETER VACCARO MD OSM
Active
Other names
Peter Vaccaro, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VACCARO MD (OWNER)
(814) 558-4551
Entity
Organization
Contact information
Practice address
195 PLEASANT ST UNIT 3, BRADFORD, PA 16701-1081
(814) 228-0400
Mailing address
55 LAKESIDE DR, BRADFORD, PA 16701-2477
(814) 558-4551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
07/31/2026
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