Provider Demographics
NPI:1710209291
Name:HSIA, VINCE (RPH)
Entity Type:Individual
Prefix:MR
First Name:VINCE
Middle Name:
Last Name:HSIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 QUIMBY LN
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-7069
Mailing Address - Country:US
Mailing Address - Phone:908-806-4998
Mailing Address - Fax:908-806-8508
Practice Address - Street 1:52 ROUTE 27
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3982
Practice Address - Country:US
Practice Address - Phone:732-205-4900
Practice Address - Fax:732-494-8384
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01693800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist