Individual
DR. CARLOS N VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11921 BOURNEFIELD WAY STE B, SILVER SPRING, MD 20904-7815
(301) 879-6141
(301) 879-6192
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101230602
VA
207R00000X
Internal Medicine Physician
Primary
D19693
MD
207R00000X
Internal Medicine Physician
MD19304
DC
Other
Enumeration date
03/05/2007
Last updated
11/23/2011
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