# ALAN R. VINITSKY, MD LCC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104127489
- **Authorized official:** DR. ALAN R VINITSKY MD (PHYSICIAN)
- **Authorized official phone:** (301) 840-0002

## Contact information

- **Practice address:** 902 WIND RIVER LN, SUITE 201, GAITHERSBURG, MD 20878-1977
- **Practice address phone:** (301) 840-0002
- **Practice address fax:** (301) 417-0262
- **Mailing address:** 902 WIND RIVER LN, SUITE 201, GAITHERSBURG, MD 20878-1977
- **Mailing address phone:** (301) 840-0002
- **Mailing address fax:** (301) 417-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0022180 | MD | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 11/03/2010