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Dr. Joseph Philip Vacanti, MD
Pediatric Surgery Physician in Boston, Massachusetts
NPI 1396736906

Joseph Philip Vacanti is a Pediatric Surgery Physician based in Charlestown, MA and is specialized in Pediatric Surgery. Joseph Philip Vacanti practices in Boston, MA and has the professional credentials of MD. The NPI Number for Joseph Philip Vacanti is 1396736906 and holds a License No. 39234 (Massachusetts).

The current practice location address for Joseph Philip Vacanti is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-1725 and via fax at 617-726-7593.

Location: 55 Fruit St, Boston, MA, 02129-9142
person
Provider Profile Details
NPI Number
1396736906
Provider Name
Joseph Philip Vacanti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02129-9142
Phone Number
617-724-1725
Fax Number
617-726-7593
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2055481 05 MA
702960 01 MA TUFTS HEALTH PLAN
C05171 01 MA BCBS MA
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-724-1725
Fax Number
617-726-7593
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-724-1725
Fax Number
617-726-7593
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
39234 (Massachusetts)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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