Individual
DR. CHAD A VACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL0005149
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0055915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028901
KAISER COMMERCIAL NUMBER
CO
05
—
9000164280
—
CO
Enumeration date
05/19/2014
Last updated
06/07/2021
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