Individual
MARTIN J VINCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 MAIN STREET, SUITE 300, PHOENIXVILLE, PA 19460
(610) 935-7772
(610) 935-7207
Mailing address
824 MAIN STREET, SUITE 300, PHOENIXVILLE, PA 19460
(610) 935-7772
(610) 935-7207
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD424165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101043808
—
PA
Enumeration date
09/16/2006
Last updated
01/14/2010
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