Individual
MR. VINCENT C. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.S.
Contact information
Practice address
10 PARSONAGE RD STE 508, EDISON, NJ 08837-2475
(732) 357-5642
Mailing address
30 BETSY ROSS CT APT B, BOUND BROOK, NJ 08805-2107
(732) 357-5642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003507-1
NY
225200000X
Physical Therapy Assistant
Primary
40QB00278500
NJ
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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