Organization
THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAY VECCHIONE M.D. (SURGEON)
(619) 297-4433
Entity
Organization
Contact information
Practice address
3399 1ST AVE, SAN DIEGO, CA 92103-5601
(619) 297-4433
(619) 297-9247
Mailing address
3399 1ST AVE, SAN DIEGO, CA 92103-5601
(619) 297-4433
(619) 297-9247
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C30357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C303570
—
CA
Enumeration date
08/16/2010
Last updated
12/06/2015
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