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Individual

DR. JOSEPH PHILIP VACANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
39234
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2055481
MA
01
702960
TUFTS HEALTH PLAN
MA
01
C05171
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
01/03/2013
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