Vanston, Vincent J

Vanston, Vincent J is an sole proprietor health care provider with primary practice located at 3400 Civic Center Blvd , Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Vanston, Vincent J can be contacted via phone (215) 614-1618.

Contact Information

Primary practice address
3400 Civic Center Blvd Philadelphia PA 19104-5127
Phone: (215) 614-1618
Fax: (215) 615-3380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD046153L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 461153L Pennsylvania

Profile Details

NPI number 1851385744
LBN Legal business name Vanston, Vincent J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Sep 27th, 2019 - about 7 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 1851385744 NPPES
Pennsylvania MEDICAID 1273749

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