Whalio Doctors

NPI 1942262548

Vincent Ziccardi

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Newark, NJ

Practice location

Address
110 Bergen St Room B-854, Newark, NJ 07103-2495
Phone
(973) 972-7462
Fax
(973) 972-7322

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 25MA06705100 (NJ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 22DI01997900 (NJ)

Registry record

NPI
1942262548
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Apr 2006
Record last updated
9 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.