Provider Demographics
NPI:1306103593
Name:DE VINCK, OANA (DO)
Entity type:Individual
Prefix:DR
First Name:OANA
Middle Name:
Last Name:DE VINCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:OANA
Other - Middle Name:
Other - Last Name:DE VINCK-BAROODY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:242 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4109
Mailing Address - Country:US
Mailing Address - Phone:201-881-6864
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB086016002080P0006X
CT0488322080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics