Individual
ALEXANDER RICHARD VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
833 CHESTNUT ST STE 1220, PHILADELPHIA, PA 19107-4413
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 479-1321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD042291E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA06332600
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
290677-1
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
C1-0006845
DE
207XS0117X
Orthopaedic Surgery of the Spine Physician
G73115
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD-13007
HI
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD042291E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME152589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0363251000
IBC
NJ
01
—
0466660
AETNA
PA
01
—
0656057000
IBC
PA
01
—
2378258
AETNA
NJ
01
—
4181347
CIGNA
—
Enumeration date
06/06/2006
Last updated
06/27/2025
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