Individual
DR. VINCENT SPAGNUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
728 MARNE HWY STE 200A, MOORESTOWN, NJ 08057-3128
(856) 291-8855
(856) 291-8844
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04573800
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04573800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832701
—
NJ
Enumeration date
03/02/2006
Last updated
04/14/2023
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