Organization
CODELLA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT CODELLA DO (PHYSICIAN)
(908) 688-1550
Entity
Organization
Contact information
Practice address
1050 GALLOPING HILL ROAD, SUITE 102, UNION, NJ 07083
(908) 688-1550
(908) 688-1552
Mailing address
1050 GALLOPING HILL ROAD, SUITE 102, UNION, NJ 07083
(908) 688-1550
(908) 688-1552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB074566
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047171
—
NJ
05
—
0047198
—
NJ
Enumeration date
02/05/2007
Last updated
08/22/2020
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