Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 60079 | CT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD467648 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | 60079 | CT |
NPI | 1295027936 |
---|---|
Provider Name | Dr. Benjamin Jospeh Vaccaro |
First Address | Philadelphia, PA 19104-2640 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2011 |
Last Update Date | 10/09/2019 |