Individual
DR. MICHAEL VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C10002069
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081114000
AMERIHEALTH HMO
—
01
—
2042344
AETNA
DE
01
—
26320
COVENTRY
DE
01
—
514
MID-ATLANTIC HEALTH SYSTE
—
Enumeration date
08/26/2006
Last updated
07/08/2007
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