| Mallory Vicedomini, PA | |
|
1057 Commerce Ave, Union, NJ 07083-5025 | |
| (866) 467-1770 | |
| Not Available |
| Full Name | Mallory Vicedomini |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1057 Commerce Ave, Union, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447070909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MP00887700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Vicedomini, PA 1057 Commerce Ave, Union, NJ 07083-5025 Ph: (866) 467-1770 | Mallory Vicedomini, PA 1057 Commerce Ave, Union, NJ 07083-5025 Ph: (866) 467-1770 |
Martine Mariealice Louis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Rahway Ave, Union, NJ 07083 Phone: 908-688-8861 | |
Dr. Glenn Joseph Forrester, MD Surgery Medicare: Medicare Enrolled Practice Location: 700 Rahway Ave, Union, NJ 07083 Phone: 908-378-1779 Fax: 908-688-8861 | |
Saqib Zia, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Galloping Hill Rd Ste 101, Union, NJ 07083 Phone: 908-686-0123 Fax: 908-686-0014 |