Healthcare Provider Details
I. General information
NPI: 1730111261
Provider Name (Legal Business Name): VINCENT Y SEE JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 09/18/2023
Certification Date: 09/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
230 W. WASHINGTON SQUARE, FL 3 FARM JOURNAL BUILDING
PHILADELPHIA PA
19106-3500
US
IV. Provider business mailing address
3400 CIVIC CENTER BLVD EAST PAVILION, 2ND FLOOR
PHILADELPHIA PA
19104-4303
US
V. Phone/Fax
- Phone: 215-829-5064
- Fax: 215-829-3081
- Phone: 215-615-4949
- Fax: 215-615-0829
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD422846 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | MD422846 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: