Individual
JOSH C VELLA
Active
Individual
JOSH C VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01061712A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
36777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490593
ANTHEM
IN
01
—
01061712A
STATE LICENSE
IN
05
—
200852480
—
IN
05
—
203476
—
AZ
Enumeration date
07/26/2006
Last updated
12/12/2018
Update your record
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