Vincent Destasio Do Llc

NPI 1801829890 - Family Medicine - 207Q00000X

NPI Details
NPI 1801829890
Enumeration Date 07/10/2006
Last Updated 07/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREA ANDREA
Position OFFICE MANAGER
Phone (732) 255-6566
Fax (732) 255-3085
Practice Location
1851 HOOPER AVE
SUITE A
TOMS RIVER NJ, 08753-8150, US
Phone (732) 255-6566
Fax (732) 255-3085
Business Location
1851 HOOPER AVE
ST A
TOMS RIVER NJ, 08753-8150, US
Phone (732) 255-6566
Fax (732) 255-3085
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1801829890 NPI Number
 

According to our database, Vincent Destasio Do Llc NPI is 1801829890, taxonomy code is 207Q00000X Vincent Destasio Do Llc physically located at 1851 Hooper Ave, Toms River NJ, 08753-8150. NPI Number 1033115704 has the healthcare provider type.

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1801829890 NPI number is provided on an as is basis without warranty of any kind. 1801829890 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Destasio Do Llc are for informational purposes only.