Ross, Vincent Luciano

Ross, Vincent Luciano is an individual health care provider with primary practice located at 442 N Main Ave , Scranton PA 18504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ross, Vincent Luciano can be contacted via phone (570) 347-5605.

Contact Information

Primary practice address
442 N Main Ave Scranton PA 18504
Phone: (570) 347-5605
Fax: (570) 347-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD009571E Pennsylvania

Profile Details

NPI number 1104935808
LBN Legal business name Ross, Vincent Luciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104935808 NPPES
Pennsylvania Other 35025 ESPN
Pennsylvania MEDICAID 1400787 ESPN

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