Individual
VINCENT LORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12974400
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA12974400
NJ
207RI0200X
Infectious Disease Physician
MD070718L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011016460002
—
PA
Enumeration date
06/24/2006
Last updated
02/23/2026
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