Organization
CORE PERFORMANCE PHYSICIANS
Active
Other names
Vincera Core Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE O'SHEA (CEO)
(267) 592-3200
Entity
Organization
Contact information
Practice address
1200 CONSTITUTION AVE, SUITE 110, PHILADELPHIA, PA 19112-1329
(267) 592-3200
(888) 393-3980
Mailing address
1200 CONSTITUTION AVE, SUITE 110, PHILADELPHIA, PA 19112-1329
(267) 592-3200
(888) 393-3980
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
MD442923
PA
208600000X
Surgery Physician
Primary
MD072993L
PA
208600000X
Surgery Physician
MD437907
PA
363LF0000X
Family Nurse Practitioner
SP015772
PA
Other
Enumeration date
12/01/2015
Last updated
02/08/2016
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