Provider Demographics
NPI:1740357532
Name:VINCENT PEPE MD PC
Entity type:Organization
Organization Name:VINCENT PEPE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:H
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-237-9326
Mailing Address - Street 1:816 BROAD ST
Mailing Address - Street 2:BLD 1 UNIT 21
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450
Mailing Address - Country:US
Mailing Address - Phone:203-237-9326
Mailing Address - Fax:203-634-0113
Practice Address - Street 1:816 BROAD ST
Practice Address - Street 2:BLD 1 UNIT 21
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450
Practice Address - Country:US
Practice Address - Phone:203-237-9326
Practice Address - Fax:203-634-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty