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Individual

CAROLE ANN VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1165 CENTRE TPKE, ORWIGSBURG, PA 17961-9343
(570) 968-1300
(570) 968-1305
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB06398300
NJ
208600000X
Surgery Physician
DO00838
RI
208600000X
Surgery Physician
Primary
OS011914
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
570032900
MN
05
7842007
NJ
Enumeration date
12/15/2005
Last updated
02/27/2024
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