Provider Demographics
NPI:1528187747
Name:PAOLICELLI, VINCENT EMANUEL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:EMANUEL
Last Name:PAOLICELLI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-2155
Mailing Address - Country:US
Mailing Address - Phone:610-268-2355
Mailing Address - Fax:
Practice Address - Street 1:HANBY BUILDING STE 102 3411 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810
Practice Address - Country:US
Practice Address - Phone:302-477-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003686L111N00000X
DEF1-0000642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor