Individual
DR. JOHN PETER VAKIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
ONE GUTHRIE SQUARE, SAYRE, PA 18840
(570) 882-4048
(570) 822-5166
Mailing address
PO BOX 188, SAYRE, PA 18840-0188
(570) 882-4048
(570) 882-5166
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
193492
NY
2085R0203X
Therapeutic Radiology Physician
193492
NY
208VP0000X
Pain Medicine Physician
193492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897236
—
NY
01
—
CC9269
RR MEDICARE GROUP ID
PA
01
—
P00635209
RR MEDICARE PIN
PA
Enumeration date
06/01/2006
Last updated
05/11/2009
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