Alan R. Vinitsky, Md Lcc | |
902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 | |
(301) 840-0002 | |
(301) 417-0262 |
Full Name | Alan R. Vinitsky, Md Lcc |
---|---|
Speciality | Internal Medicine |
Location | 902 Wind River Ln, Gaithersburg, Maryland |
Authorized Official Name and Position | Alan R Vinitsky (PHYSICIAN) |
Authorized Official Contact | 3018400002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alan R. Vinitsky, Md Lcc 902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 Ph: (301) 840-0002 | Alan R. Vinitsky, Md Lcc 902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 Ph: (301) 840-0002 |
NPI Number | 1104127489 |
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Provider Enumeration Date | 11/03/2010 |
Last Update Date | 11/03/2010 |
Medicare PECOS PAC ID | 8224219654 |
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Medicare Enrollment ID | O20110218000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104127489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0022180 (Maryland) | Primary |
Provider Name | Alan R Vinitsky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053410530 PECOS PAC ID: 3274714613 Enrollment ID: I20110218000283 |
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