Healthcare Provider Details
I. General information
NPI: 1013085190
Provider Name (Legal Business Name): VINCENT MICHAEL FIGUEREDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE PA
19047
US
IV. Provider business mailing address
41 UNIVERSITY DR STE 300
NEWTOWN PA
18940-1873
US
V. Phone/Fax
- Phone: 215-750-7818
- Fax: 215-752-0436
- Phone: 215-710-7037
- Fax: 215-710-5181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD426336 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0005X |
| Taxonomy | Hypertension Specialist Physician |
| License Number | MD426336 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: