Provider Demographics
NPI:1750304085
Name:CALABRESE, VINCENT PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:PAUL
Last Name:CALABRESE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:MCGUIRE VA MED CTR, DEP OF NEUROLOGY
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0002
Mailing Address - Country:US
Mailing Address - Phone:804-675-5931
Mailing Address - Fax:804-675-5939
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:MCGUIURE VA MED CTR, DEPT OF NEUROLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0002
Practice Address - Country:US
Practice Address - Phone:804-675-5931
Practice Address - Fax:804-675-5939
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA01010224542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1362461Medicare UPIN