MEDICARE: DR. ANTHONY J. VUOLO JR. DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC002140L	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	0103300951	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C08789	OTHER	VA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972569598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY J. VUOLO JR. DPM

Provider Business Mailing Address
First Line	:	1547 AMBERLEY FOREST RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-4706
Country	:	US
Telephone Number	:	757-963-6363
Fax Number	:	757-963-0262

Provider Business Practice Location Address
First Line	:	1547 AMBERLEY FOREST RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-4706
Country	:	US
Telephone Number	:	757-963-6363
Fax Number	:	757-963-0262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	02/07/2008

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Directions to “ DR. ANTHONY J. VUOLO JR. DPM” Practice Location

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