Organization
NEPHROLOGY ASSOCIATES OF MONTGOMERY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GAETANO VACCAREZZA MD (PRESIDENT)
(301) 231-7111
Entity
Organization
Contact information
Practice address
6240 MONTROSE RD, ROCKVILLE, MD 20852-4114
(301) 231-7111
(301) 231-9040
Mailing address
6240 MONTROSE RD, ROCKVILLE, MD 20852-4114
(301) 231-7111
(301) 231-9040
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256916P000
—
MD
01
—
8535
BLUE SHIELD
DC
Enumeration date
06/22/2007
Last updated
04/14/2015
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