Individual
DR. MARIA CARMEN V GONZALES-VIGILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
44031 PIPELINE PLAZA, STE 205, ASHBURN, VA 20147
(571) 291-2449
(571) 291-3681
Mailing address
44031 PIPELINE PLZ, STE 205, ASHBURN, VA 20147-5887
(571) 291-2449
(571) 291-3681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301077025
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101240546
VA
2084P0804X
Child & Adolescent Psychiatry Physician
4301077025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540682401
—
VA
Enumeration date
05/31/2006
Last updated
08/06/2015
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