Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD426336 | PA |
NPI | 1013085190 |
---|---|
Provider Name | Vincent Michael Figueredo |
First Address | Newtown, PA 18940-1873 |
Second Address | Langhorne, PA 19047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E74705 | (02) | PA |