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Individual

VINCENT MICHAEL IMBROGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2640 ZUCK RD, ERIE, PA 16506-3151
(814) 838-9555
(814) 835-7776
Mailing address
2640 ZUCK RD, ERIE, PA 16506-3151
(814) 838-9555
(814) 835-7776

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS016252
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028650000003
PA
Enumeration date
04/20/2009
Last updated
08/15/2014
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