person
Dr. Clarence J Vincent, MD
Specialist in Cumberland, Maryland
NPI 1457354516

Clarence J Vincent is a Specialist based in Cumberland, MD. Clarence J Vincent practices in Cumberland, MD and has the professional credentials of MD. The NPI Number for Clarence J Vincent is 1457354516 and holds a License No. D0017474 (Maryland).

The current practice location address for Clarence J Vincent is 952 Seton Dr, Cumberland, MD and can be reached out via phone at 301-777-3522 and via fax at 301-777-1902. You can also correspond with Clarence J Vincent through the mailing address at PO BOX 808, CUMBERLAND, MD - 21501-0808 (mailing address contact number: 301-724-1646).

Location: 952 Seton Dr, Cumberland, MD, 21501-0808
person
Provider Profile Details
NPI Number
1457354516
Provider Name
Clarence J Vincent
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
952 Seton Dr, Cumberland, MD, 21501-0808
Phone Number
301-777-3522
Fax Number
301-777-1902
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001717208 01 WV MT ST BLUE SHIELD
J2490005 01 MD GHMSI
1012103550001 05 PA
0086105000 05 WV
411501500 05 MD
J2480005 01 MD GHMSI
P00139754 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
952 Seton Dr
City
State
Zip
21502-1950
Phone Number
301-777-3522
Fax Number
301-777-1902
person
Provider Business Mailing Address Details
Address
Po Box 808
City
State
Zip
21501-0808
Phone Number
301-724-1646
Fax Number
301-724-7429
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D0017474 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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