Healthcare Provider Details
I. General information
NPI: 1144400680
Provider Name (Legal Business Name): VECTOR CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5901 N 6TH ST
PHILADELPHIA PA
19120-1304
US
IV. Provider business mailing address
5901 N 6TH ST
PHILADELPHIA PA
19120-1304
US
V. Phone/Fax
- Phone: 215-224-9000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOE
JEROME
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 215-224-9000