Provider Demographics
NPI:1134007412
Name:CARDINALE, VINCENZO (MD, PHD)
Entity type:Individual
Prefix:
First Name:VINCENZO
Middle Name:
Last Name:CARDINALE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E HADLEY RD APT 104
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3606
Mailing Address - Country:US
Mailing Address - Phone:413-210-9259
Mailing Address - Fax:
Practice Address - Street 1:170 E HADLEY RD APT 104
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-3606
Practice Address - Country:US
Practice Address - Phone:413-210-9259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ0000003746207RI0008X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology