Individual
DR. AGOSTINO J VISIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 MEDICAL PARKWAY, SUITE 430, ANNAPOLIS, MD 21401-3263
(410) 266-2720
(410) 224-0209
Mailing address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D70582
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-0003085
VT PHYSICIAN'S LICENSE #
VT
05
—
311202100
—
MD
01
—
96458601
BCBS
MD
01
—
96458602
BCBS
MD
01
—
96458603
BCBS
MD
01
—
96458604
BCBS
MD
01
—
D3800007
BCBS
DC
01
—
J4570009
BCBS
DC
01
—
W8490001
BCBS
DC
Enumeration date
03/17/2007
Last updated
05/07/2015
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