Organization
INTERNET MEDICAL GROUP PC
Active
Other names
INTERNET MEDICAL GROUP P C
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J VECCHIONE DO (DOCTOR)
(973) 667-8117
Entity
Organization
Contact information
Practice address
181 FRANKLIN AVENUE, SUITE 204, NUTLEY, NJ 07110
(973) 667-8117
(973) 667-6642
Mailing address
PO BOX 781255, PHILADELPHIA, PA 19178-1255
(973) 667-8117
(973) 667-6642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
25MA07282700
NJ
207RP1001X
Pulmonary Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0108495
CLIA
NJ
05
—
6342205
—
NJ
Enumeration date
04/21/2006
Last updated
05/14/2026
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