Individual
GONZALO C VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 N PARK AVE, CHEVY CHASE, MD 20815-4518
(301) 215-7100
(301) 215-4144
Mailing address
2 WISCONSIN CIR STE 230, CHEVY CHASE, MD 20815-7005
(301) 215-7100
(301) 215-4144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0059832
MD
Other
Enumeration date
07/07/2006
Last updated
07/21/2022
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