Provider Demographics
NPI:1942375902
Name:CINCO, FLOCERFINA VERZOSA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOCERFINA
Middle Name:VERZOSA
Last Name:CINCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BROOKMAWR RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQ
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2001
Mailing Address - Country:US
Mailing Address - Phone:610-356-0552
Mailing Address - Fax:610-356-0552
Practice Address - Street 1:20 NORTH 9TH ST
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:610-583-3400
Practice Address - Fax:610-583-8022
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038809L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000938160001Medicaid
PA000938160001Medicaid
PA418395Medicare ID - Type Unspecified