VINCENT DESTASIO DO LLC

TOMS RIVER, NJ
NPI1801829890
Entity TypeOrganization
Authorized ContactANDREA BACK
Office Manager
732-255-6566
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-07-10
Last Update Date2008-07-29
Business Address
VINCENT DESTASIO DO LLC
1851 HOOPER AVE SUITE A
TOMS RIVER, NJ 08753-8150
Phone number: 732-255-6566
Mailing Address
VINCENT DESTASIO DO LLC
1851 HOOPER AVE ST A
TOMS RIVER, NJ 08753-8150
Phone number: 732-255-6566
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