Individual
DR. VICENTE CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6TH AVENUE AND SPRUCE STREET, TRAUMA ADMINISTRATION, B4 SOUTH, WEST READING, PA 19611
(484) 628-4888
(484) 628-4880
Mailing address
51 N 39TH ST, TRAUMA ADMINISTRATION, B4 SOUTH, PHILADELPHIA, PA 19104-2640
(484) 628-4888
(484) 628-4880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD423741
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD423741
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0836028
—
OH
05
—
1010951730001
—
PA
05
—
3810011017
—
WV
Enumeration date
07/27/2005
Last updated
06/14/2016
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