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Individual

DR. ALAN VINITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0022180
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
522350226
TAX-ID #
MD
05
763431500
MD
01
D0022180
DPT OF HEALTH & MENTAL HY
MD
Enumeration date
09/21/2006
Last updated
07/08/2007
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