person
Virgilio Coronado Vicente, MD
Pediatrics Physician in Newark, New Jersey
NPI 1780790998

Virgilio Coronado Vicente is a Pediatrics Physician based in West Orange, NJ. Virgilio Coronado Vicente practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Virgilio Coronado Vicente is 1780790998 and holds a License No. 25MA06381500 (New Jersey).

The current practice location address for Virgilio Coronado Vicente is 155 Jefferson St, Newark, NJ and can be reached out via phone at 973-466-0300 and via fax at 973-466-1117.

Location: 155 Jefferson St, Newark, NJ, 07052-0254
person
Provider Profile Details
NPI Number
1780790998
Provider Name
Virgilio Coronado Vicente
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
155 Jefferson St, Newark, NJ, 07052-0254
Phone Number
973-466-0300
Fax Number
973-466-1117
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
607241 01 EMPIRE
7949804 01 UNISYS MEDICAID
8763000002 01 CIGNA
K0845 01 HORIZON BCBS
01000200803 01 AMERICHOICE
01000200800 01 AMERICHOICE
8763000 01 CIGNA
2072459000 01 AMERIHEALTH PPO HMO
2017754 01 UNITED HEALTH CARE
7949804 05 NJ
2327481 01 AETNA
25087 01 UNIVERSITY HEALTH PLANS
2695833 01 GHI
P3512598 01 OXFORD
607241 01 WELLCHOICE
91899 01 AMERICAID
1135312 01 HORIZON NJ HEALTH
2366072 01 AETNA
2K5847 01 ACS HEALTHNET
91899 01 AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
155 Jefferson St
City
State
Zip
07105-1706
Phone Number
973-466-0300
Fax Number
973-466-1117
person
Provider Business Mailing Address Details
Address
155 Jefferson St
City
State
Zip
07105-1706
Phone Number
973-466-0300
Fax Number
973-466-1117
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
25MA06381500 (New Jersey)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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