Vincent P. Wroblewski M D Pa | |
1623 Bellona Ave Lutherville MD 21093-5529 | |
(410) 252-4406 | |
(410) 252-5655 |
Full Name | Vincent P. Wroblewski M D Pa |
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Speciality | Family Medicine |
Location | 1623 Bellona Ave, Lutherville, Maryland |
Authorized Official Name and Position | Vincent Paul Wroblewski (PRESIDENT) |
Authorized Official Contact | 4102524406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vincent P. Wroblewski M D Pa 1623 Bellona Ave Lutherville MD 21093-5529 Ph: (410) 252-4406 | Vincent P. Wroblewski M D Pa 1623 Bellona Ave Lutherville MD 21093-5529 Ph: (410) 252-4406 |
NPI Number | 1871893875 |
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Provider Enumeration Date | 10/25/2010 |
Last Update Date | 02/14/2011 |
Medicare PECOS PAC ID | 4284828351 |
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Medicare Enrollment ID | O20101102001283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871893875 | NPI | - | NPPES |
755121500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D43031 (Maryland) | Primary |
Provider Name | Vincent P Wroblewski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780676775 PECOS PAC ID: 2466646534 Enrollment ID: I20101102001277 |
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