Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD455216 | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD455216 | PA |
NPI | 1326362864 |
---|---|
Provider Name | Dr. Vincent Michael Moretti |
First Address | Philadelphia, PA 19111 |
Second Address | Philadelphia, PA 19111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 23/12/2021 |