Individual
MR. GILBERT B VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-6671
Mailing address
26 EVERGREEN RD, SOMERSET, NJ 08873-2822
(732) 690-9479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00997100
NJ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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