Provider Demographics
NPI:1285859207
Name:PIERCE, JR., VINCENT EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:EDWARD
Last Name:PIERCE, JR.
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:104 WEATHER VANE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1038
Mailing Address - Country:US
Mailing Address - Phone:856-779-2796
Mailing Address - Fax:609-890-4447
Practice Address - Street 1:1440 LOWER FERRY RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-1415
Practice Address - Country:US
Practice Address - Phone:609-890-4445
Practice Address - Fax:609-890-4447
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA406202083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine