Individual
LICINIA VEGUILLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 RT 37 WEST, TOMS RIVER, NJ 08755
(732) 341-8885
(732) 341-7408
Mailing address
147 RT 37 WEST, TOMS RIVER, NJ 08755
(752) 341-8885
(732) 341-7408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05628100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7220901
—
NJ
Enumeration date
04/19/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us