Provider Demographics
NPI:1821077462
Name:ABBRESCIA, VINCENT D (DO)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:D
Last Name:ABBRESCIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:200 BANNING STREET
Practice Address - Street 2:SUITE 340
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904
Practice Address - Country:US
Practice Address - Phone:302-734-1414
Practice Address - Fax:302-734-2121
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2019-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC2-0006879207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000022185Medicaid
DEG45876Medicare UPIN
DE1000022185Medicaid
DEG02339D02Medicare PIN