Individual
DR. MATTHEW GERARD VICINANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 19TH ST S, BIRMINGHAM, AL 35205-4804
(205) 930-0700
(205) 930-9127
Mailing address
1000 19TH ST S, BIRMINGHAM, AL 35205-4804
(205) 930-0700
(205) 930-9127
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
25771
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051520716
—
AL
Enumeration date
05/30/2005
Last updated
04/04/2016
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