Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 25MA10474800 | NJ |
N | 207YS0123X | Facial Plastic Surgeon | 291195-1 | NY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 25MA10474800 | NJ |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA10474800 | NJ |
NPI | 1073888434 |
---|---|
Provider Name | Dr. Joseph Bayer Vella |
First Address | Hightstown, NJ 08520-3424 |
Second Address | New Brunswick, NJ 08901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 31/01/2020 |