Individual
VINCENT ODENIGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST STE G8490, PHILADELPHIA, PA 19107
(215) 955-1120
Mailing address
111 S 11TH ST STE G8490, PHILADELPHIA, PA 19107-4824
(215) 955-1120
(215) 955-6161
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD420601
PA
Other
Enumeration date
10/25/2005
Last updated
11/04/2019
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