Individual
DR. JOSE J VICENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4250 GRANBY ST UNIT 207, NORFOLK, VA 23504-1127
(757) 553-2910
Mailing address
4250 GRANBY ST UNIT 207, NORFOLK, VA 23504-1127
(757) 553-2910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15954
SC
Other
Enumeration date
01/18/2006
Last updated
12/11/2024
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