Individual provider · Type 1 NPI

Joseph Philip Vacanti, MD

Pediatric Surgery Physician · Boston, MA

NPI number 1396736906 Active

Practice location

55 Fruit St, Wrn 1157
Boston, MA 02114-2621

Call (617) 724-1725 Map

Fax (617) 726-7593

Mailing address

PO Box 9142, Mass General Physician Organization
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X39234 (MA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1396736906

Joseph Philip Vacanti, MD's National Provider Identifier is 1396736906, issued on Nov 2, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Boston, MA. The record was last updated on Jan 3, 2013.