Individual
DR. CARL ANTHONY VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
(732) 791-9577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08345200
NJ
208M00000X
Hospitalist Physician
Primary
25MB08345200
NJ
Other
Enumeration date
01/23/2008
Last updated
02/10/2021
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