| Doctor Name: | JEFFREY VACCARI |
| NPI Number: | 1043630379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 800 Cummings Ctr Suite 364-u Beverly, MA - 019156175 |
| Business Phone Number: | 9789983680 |
| Business Fax Number: | 9789220098 |
| Mailing Address: | 800 Cummings Ctr, Suite 364-u BEVERLY |
| State: | MA |
| Postal Code: | 019156175 |
| Phone Number: | 9789983680 |
| Fax Number: | 9789220098 |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |