Individual
VINCENT DISABELLA
Active
Individual
VINCENT DISABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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