Provider Demographics
NPI:1679831317
Name:VESS, VINCENT (DPM)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:VESS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GAMMA DR
Mailing Address - Street 2:STE 210
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2936
Mailing Address - Country:US
Mailing Address - Phone:412-963-6677
Mailing Address - Fax:412-963-6868
Practice Address - Street 1:107 GAMMA DR
Practice Address - Street 2:210
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2917
Practice Address - Country:US
Practice Address - Phone:412-967-6677
Practice Address - Fax:412-967-6868
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006527213ES0103X
NYN006724213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery