Individual
VINCENT IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WASHINGTON STREET, STE 200, NORTH EASTON, MA 02356-1010
(508) 205-9630
(508) 796-2610
Mailing address
3 WASHINGTON STREET, STE 200, NORTH EASTON, MA 02356-1010
(508) 205-9630
(508) 796-2610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34417
MA
207X00000X
Orthopaedic Surgery Physician
34417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166391
—
MA
01
—
C2020701R
MEDICARE NGS
MA
Enumeration date
12/05/2005
Last updated
09/21/2016
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