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Individual

DR. VINCENTE MARIO SIMONCINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
820 BESTGATE RD, SUITE 1C, ANNAPOLIS, MD 21401-3404
(410) 266-0001
Mailing address
820 BESTGATE RD, SUITE 1C, ANNAPOLIS, MD 21401-3404
(410) 266-0001
(410) 266-3988

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA 1018
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01378665
RAILROAD MEDICARE
MD
Enumeration date
02/02/2007
Last updated
12/18/2014
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