Individual
PETER VINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 STATION AVE, GLENSIDE, PA 19038-1421
(610) 787-3770
Mailing address
610 STATION AVE, GLENSIDE, PA 19038-1421
(610) 787-3770
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
D0039091
MD
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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