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1396736906
JOSEPH PHILIP VACANTI
BOSTON, MA
NPI
1396736906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: MA 39234)
Enumeration Date
2005-11-02
Last Update Date
2013-01-03
Business Address
Dr. JOSEPH PHILIP VACANTI MD
55 FRUIT ST WRN 1157
BOSTON, MA 02114-2621
Phone number: 617-724-1725
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Mailing Address
Dr. JOSEPH PHILIP VACANTI MD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-1725
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