Provider Demographics
NPI:1205928777
Name:VIGORITA, JOHN FLOYD (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FLOYD
Last Name:VIGORITA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-273-1112
Mailing Address - Fax:908-273-1146
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-273-1112
Practice Address - Fax:908-273-1146
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA032557002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA03255700OtherLICENSE
NJMA03255700OtherLICENSE