Individual
REGINA M VINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3403 RIDDLE HEALTH CENTER 3, MEDIA, PA 19063-5139
(610) 627-4490
(610) 627-4477
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(904) 697-4201
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS017308
PA
Other
Enumeration date
06/23/2011
Last updated
02/17/2016
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