Individual
DR. ANTHONY VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7120
(518) 562-7972
Mailing address
2864 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30062-5635
(770) 693-2622
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
181259-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-382892
—
NY
Enumeration date
08/09/2005
Last updated
08/04/2011
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