Individual
VINCENT DISABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
25MB06246100
NJ
207RS0010X
Sports Medicine (Internal Medicine) Physician
C2-0005338
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316962
AETNA HMO
DE
01
—
20-4753265
NATIONAL PROVIDER NETWORK
DE
01
—
204753265
TRICARE
DE
01
—
2803109000
INDEPENDENCE BLUE CROSS
DE
01
—
2803741000
AMERIHEALTH
DE
01
—
3156674
UNITED HEALTH CARE
DE
01
—
442146
COVENTRY
DE
01
—
5091134
CIGNA
DE
01
—
5933380
AETNA PPO
DE
05
—
981003
—
DE
Enumeration date
01/04/2006
Last updated
10/11/2021
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