Individual
NANCY VINCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD422269
PA
207L00000X
Anesthesiology Physician
MT050139
PA
207P00000X
Emergency Medicine Physician
MD422269
PA
Other
Enumeration date
12/14/2006
Last updated
04/03/2012
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