Organization
INSTITUTE OF PALLIATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J VANSTON M.D. (OWNER)
(570) 586-8990
Entity
Organization
Contact information
Practice address
1 COUNTRY CLUB PL, SOUTH ABINGTON TOWNSHIP, PA 18411-9199
(570) 586-8990
Mailing address
1 COUNTRY CLUB PL, SOUTH ABINGTON TOWNSHIP, PA 18411-9199
(570) 586-8990
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD-046153-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077501VP6
PTAN
PA
05
—
1273749
—
PA
Enumeration date
01/27/2010
Last updated
01/27/2010
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