Provider Demographics
NPI:1780725234
Name:ARLET, VINCENT (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:ARLET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VINCENT
Other - Middle Name:MARIA-JEAN
Other - Last Name:ARLET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:235 S 8TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3519
Mailing Address - Country:US
Mailing Address - Phone:215-829-3073
Mailing Address - Fax:
Practice Address - Street 1:235 S 8TH ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3519
Practice Address - Country:US
Practice Address - Phone:215-829-3073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0109542039207X00000X
PAMD444425207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010093970Medicaid
VA010093970Medicaid
VA010093970Medicaid