| Vincera Core Physicians | |
|
1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 | |
| (267) 592-3200 | |
| (888) 393-3980 |
| Full Name | Vincera Core Physicians |
|---|---|
| Speciality | Surgery |
| Location | 1200 Constitution Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ann Marie O'shea (CEO) |
| Authorized Official Contact | 2675923200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincera Core Physicians 1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 Ph: (267) 592-3200 | Vincera Core Physicians 1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 Ph: (267) 592-3200 |
| NPI Number | 1912371048 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 3072819770 |
|---|---|
| Medicare Enrollment ID | O20160307000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912371048 | NPI | - | NPPES |
| Provider Name | Alexander E Poor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629228689 PECOS PAC ID: 9032408992 Enrollment ID: I20160516001796 |
| Provider Name | Lynn Durmala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790152544 PECOS PAC ID: 5597056002 Enrollment ID: I20160614000168 |
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