Individual
DR. MICHAEL JOSEPH VACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 BROADCASTING RD STE 200, WYOMISSING, PA 19610-3222
(610) 372-8995
Mailing address
1320 BROADCASTING RD STE 200, WYOMISSING, PA 19610-3222
(610) 372-8995
(610) 685-5984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101266282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578907143
—
VA
01
—
MD471733
PA STATE LICENSE
PA
Enumeration date
04/25/2013
Last updated
08/26/2020
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