Provider Demographics
NPI:1093777203
Name:TRANCHITELLA, VINCENT JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:JOSEPH
Last Name:TRANCHITELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1600 SIXTH AVEENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-764-4781
Mailing Address - Fax:717-764-9572
Practice Address - Street 1:1600 SIXTH AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2644
Practice Address - Country:US
Practice Address - Phone:717-764-4781
Practice Address - Fax:717-764-9572
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD046680L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
0746917OtherKEYSTONE HEALTH PLAN CENT
746917OtherHIGHMARK
000000077689OtherTHREE RIVERS MED PLUS
6978148003OtherCIGNA
PA001422499Medicaid
250004307OtherMEDICARE RR
8456YJOtherBS MARYLAND CAREFIRST
0535783OtherAETNA HMO
12923OtherMARYLAND MA
5660131OtherAETNA PPO POS
001422499OtherMA
972145OtherFIRST HEALTH
LL16EMOtherEUIF
276014OtherMAMSI
50000986OtherCAPITAL BLUE CROSS
R566OtherEUIF
746917MHPMedicare PIN
12923OtherMARYLAND MA
50000986OtherCAPITAL BLUE CROSS