NPI 1972058840 · live from the CMS NPI Registry
Victoria Rose Acilio, PA
Physician Assistant in Medford, NJ. National Provider Identifier 1972058840, active.
NPI record
| NPI | 1972058840 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 103 Old Marlton Pike Ste 201, Medford, NJ 08055 |
| Practice phone | 609-714-0202 |
| Mailing address | 103 Old Marlton Pike, Medford, NJ 08055 |
| Enumerated | August 22, 2016 |
| Last updated | April 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.