Individual
VINCENT EDGAR REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BOWER HILL RD, PITTSBURGH, PA 15243-1873
(412) 942-4000
(412) 942-2589
Mailing address
1000 BOWER HILL ROAD, ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN, PITTSBURGH, PA 15243-1873
(412) 942-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426140
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD426140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022789000001
—
PA
01
—
11932389
CAQH
PA
Enumeration date
06/04/2007
Last updated
03/15/2021
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