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Individual

DR. KENNETH VAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8766
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1400
(703) 558-1445

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD048518
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/31/2013
Last updated
01/09/2023
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