Individual
DR. VINCENT JAMES DICRISCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, CSCS
Contact information
Practice address
4701 N CHARLES ST, BALTIMORE, MD 21210-2404
(410) 532-5385
Mailing address
9438 BELLHALL DR, NOTTINGHAM, MD 21236-4772
(443) 442-4073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000853
MD
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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