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Individual

DR. THOMAS JACOB VAXMONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5500 BUCKEYSTOWN PIKE STE 620, FREDERICK, MD 21703-9458
(301) 663-4745
(301) 293-0256
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MDTA0999
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31444
UNITEDHEALTHCARE
MD
Enumeration date
12/11/2006
Last updated
01/28/2025
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