Vincent L Gattuso
Optometrist
2250 Echelon Mall
Voorhees
, New Jersey 08043-1943
Vincent L Gattuso
Optometrist
2250 Echelon Mall
Voorhees
, New Jersey 08043-1943
(856) 772-6331
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Vincent L Gattuso
- 2250 Echelon Mall
- Voorhees, NJ
- Zip : 08043-1943
- Phone : (856) 772-6331
Second Address
- Vincent L Gattuso
- 2250 Echelon Mall
- Voorhees, NJ
- Zip : 08043-1943
- Phone : (856) 772-6331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00363302 | NJ |
National Provider Identifier
| NPI | 1003893983 |
|---|---|
| Provider Name | Vincent L Gattuso |
| First Address | Voorhees, NJ 08043-1943 |
| Second Address | Voorhees, NJ 08043-1943 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2005 |
| Last Update Date | 04/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U11804 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.