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Organization

VINCENT O. CASIBANG, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT ONATE CASIBANG M.D. (CORPORATE PRESIDENT)
(301) 731-5744
Entity
Organization

Contact information

Practice address
9470 ANNAPOLIS RD, SUITE 307, LANHAM, MD 20706-3025
(301) 731-5944
(301) 731-9034
Mailing address
PO BOX 886, LANHAM, MD 20703-0886
(301) 731-5944
(301) 731-9034

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0023927
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02244 VO02
BCBS MD
MD
05
0412120(023267500)
DC
01
24311
MAMSI/OPTIMUM PROVIDER #
MD
01
327264
PRIME HEALTH
MD
01
4051226
AETNA USHC TRADITIONAL
MD
01
67535
AMERIGROUP PROVIDER #
MD
05
73 0339 4
VA
01
82716
AETNA HMO
MD
01
94912
HEALTH PARTNERS
MD
01
9892
CAPITAL CARE
MD
01
98920001
BCBS NCA
MD
Enumeration date
04/06/2006
Last updated
08/22/2020
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