Provider Demographics
NPI:1427074244
Name:MORGESE, VINCENT JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:JOHN
Last Name:MORGESE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1139 STONYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5244
Mailing Address - Country:US
Mailing Address - Phone:707-258-1926
Mailing Address - Fax:707-258-0246
Practice Address - Street 1:980 TRANCAS ST STE 12
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2933
Practice Address - Country:US
Practice Address - Phone:707-254-8831
Practice Address - Fax:707-257-4107
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG064266207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF59229Medicare UPIN