Individual
DR. JASMINE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18765-0001
(570) 808-3181
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
(856) 762-1775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10991800
NJ
208000000X
Pediatrics Physician
MD465660
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2014
Last updated
06/28/2021
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