Individual
DR. EDWARD JOSEPH VRESILOVIC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1160 MANHEIM PIKE STE 200, LANCASTER, PA 17601-3127
(717) 735-1972
(717) 735-2004
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 735-1972
(717) 735-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD038394E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226738
MASS STATE LICENSE #
MA
Enumeration date
06/12/2006
Last updated
01/09/2021
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