Vincent Paul Canabal | Belleville, NJ • PECOS Search

Vincent Paul Canabal

Emergency Medicine

Allopathic & Osteopathic Physicians

46 New St, Belleville, NJ 07109-2006

PECOS Enrollment

Based on the most recent information from CMS, provider Vincent Paul Canabal does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1194912295
Provider Type
Individual
Full Name
Canabal, Vincent Paul
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/2/2007
Last Updated
7/20/2009

Contact Information

Practice Location

46 New St, Belleville, NJ 07109-2006

Unlisted Fax

Mailing Location

46 New St, Belleville, NJ 07109-2006

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 23MA08596700 New Jersey