Provider Demographics
NPI:1760433973
Name:GIUSEFFI, VINCENT J III (MD,)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:J
Last Name:GIUSEFFI
Suffix:III
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 S FINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1420
Mailing Address - Country:US
Mailing Address - Phone:908-340-4888
Mailing Address - Fax:908-340-4889
Practice Address - Street 1:47 S FINLEY AVE
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1420
Practice Address - Country:US
Practice Address - Phone:908-340-4888
Practice Address - Fax:908-340-4889
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA56106207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5526302Medicaid
NJF53881Medicare UPIN
NJ5526302Medicaid