| Alan R. Vinitsky, Md Lcc | |
|
902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 | |
| (301) 840-0002 | |
| (301) 417-0262 |
| Full Name | Alan R. Vinitsky, Md Lcc |
|---|---|
| Speciality | Internal Medicine |
| Location | 902 Wind River Ln, Gaithersburg, Maryland |
| Authorized Official Name and Position | Alan R Vinitsky (PHYSICIAN) |
| Authorized Official Contact | 3018400002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan R. Vinitsky, Md Lcc 902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 Ph: (301) 840-0002 | Alan R. Vinitsky, Md Lcc 902 Wind River Ln Suite 201 Gaithersburg MD 20878-1977 Ph: (301) 840-0002 |
| NPI Number | 1104127489 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 11/03/2010 |
| Medicare PECOS PAC ID | 8224219654 |
|---|---|
| Medicare Enrollment ID | O20110218000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104127489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0022180 (Maryland) | Primary |
| Provider Name | Alan R Vinitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053410530 PECOS PAC ID: 3274714613 Enrollment ID: I20110218000283 |
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