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Contact Information

VINCENT DISABELLA, DO
352 S DELSEA DR STE C
VINELAND, NJ08360-5306
 Phone: 856-690-1616
 Fax: 856-896-6107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VINCENT DISABELLA · (Male)

NPI # 1487632170
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/04/2006
Last updated 10/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C2-0005338
  • NJ License # 25MB06246100
  • DE Medicaid 981003
  • DE Other 1316962 AETNA HMO
  • DE Other 5933380 AETNA PPO
  • DE Other 2803741000 AMERIHEALTH
  • DE Other 204753265 BLUE CROSS BLUE SHEILD DE
  • DE Other 5091134 CIGNA
  • DE Other 442146 COVENTRY
  • DE Other 2803109000 INDEPENDENCE BLUE CROSS
  • DE Other 20-4753265 NATIONAL PROVIDER NETWORK
  • DE Other 204753265 TRICARE
  • DE Other 3156674 UNITED HEALTH CARE
Hospital affiliation(s)
  • SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    1505 W SHERMAN AVE
    VINELAND, NJ 08360
  • SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL - (Acute Care)
    501 WEST FRONT STREET
    ELMER, NJ 08318
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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