Organization
AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL VINCENT M.D. (PRESIDENT)
(240) 912-4708
Entity
Organization
Contact information
Practice address
15245 SHADY GROVE RD, SUITE 155, ROCKVILLE, MD 20850-3222
(240) 912-4708
(240) 912-6992
Mailing address
15245 SHADY GROVE RD, SUITE 155, ROCKVILLE, MD 20850-3222
(240) 912-4708
(240) 912-6992
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01044
MEDICARE GROUP NUMBER
—
Enumeration date
08/23/2007
Last updated
03/25/2019
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