Provider Demographics
NPI:1144499054
Name:VINCENT J ACAMPORA DO PA
Entity type:Organization
Organization Name:VINCENT J ACAMPORA DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:ACAMPORA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-424-4525
Mailing Address - Street 1:11 CIRCLE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2819
Mailing Address - Country:US
Mailing Address - Phone:856-424-4525
Mailing Address - Fax:856-424-9545
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:077
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-424-4525
Practice Address - Fax:856-424-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03353300207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ078851Medicare PIN