Individual
DR. VINCENT CHARLES SIRACUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 W MARKET ST, PENINSULA MENTAL HEALTH SERVICES, SALISBURY, MD 21801-4933
(410) 860-2673
(410) 860-0450
Mailing address
102 W MARKET ST, PENINSULA MENTAL HEALTH SERVICES, SALISBURY, MD 21801-4933
(410) 860-2673
(410) 860-0450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0039547
MD
Other
Enumeration date
03/05/2009
Last updated
03/06/2009
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