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Individual

DR. ALAN VINITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
902 WIND RIVER LN STE 201, GAITHERSBURG, MD 20878-1977
(301) 840-0002
(301) 417-0262
Mailing address
902 WIND RIVER LANE STE 201, GAITHERSBURG, MD 20878-1977
(301) 840-0002
(301) 417-0262

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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