Provider Demographics
NPI:1023270741
Name:PROY, VINCENT B (MD)
Entity type:Individual
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First Name:VINCENT
Middle Name:B
Last Name:PROY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:315 YORK ST
Mailing Address - Street 2:MEDICAL GROUP OF CORRY, INC
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-1412
Mailing Address - Country:US
Mailing Address - Phone:814-664-8686
Mailing Address - Fax:814-664-9826
Practice Address - Street 1:315 YORK ST
Practice Address - Street 2:MEDICAL GROUP OF CORRY, INC
Practice Address - City:CORRY
Practice Address - State:PA
Practice Address - Zip Code:16407-1412
Practice Address - Country:US
Practice Address - Phone:814-664-8686
Practice Address - Fax:814-664-9826
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2020-10-07
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Provider Licenses
StateLicense IDTaxonomies
CAA106264207Q00000X
PAMD437999208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist