Provider Demographics
NPI:1033354899
Name:VINCENT C. GIAMPAPA, M.D., PA
Entity Type:Organization
Organization Name:VINCENT C. GIAMPAPA, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:C
Authorized Official - Last Name:GIAMPAPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-746-3535
Mailing Address - Street 1:89 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2212
Mailing Address - Country:US
Mailing Address - Phone:973-746-3535
Mailing Address - Fax:973-746-4385
Practice Address - Street 1:89 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2212
Practice Address - Country:US
Practice Address - Phone:973-746-3535
Practice Address - Fax:973-746-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty