| Vincent P. Wroblewski M D Pa | |
|
1623 Bellona Ave Lutherville MD 21093-5529 | |
| (410) 252-4406 | |
| (410) 252-5655 |
| Full Name | Vincent P. Wroblewski M D Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1623 Bellona Ave, Lutherville, Maryland |
| Authorized Official Name and Position | Vincent Paul Wroblewski (PRESIDENT) |
| Authorized Official Contact | 4102524406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent P. Wroblewski M D Pa 1623 Bellona Ave Lutherville MD 21093-5529 Ph: (410) 252-4406 | Vincent P. Wroblewski M D Pa 1623 Bellona Ave Lutherville MD 21093-5529 Ph: (410) 252-4406 |
| NPI Number | 1871893875 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 4284828351 |
|---|---|
| Medicare Enrollment ID | O20101102001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871893875 | NPI | - | NPPES |
| 755121500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D43031 (Maryland) | Primary |
| Provider Name | Vincent P Wroblewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780676775 PECOS PAC ID: 2466646534 Enrollment ID: I20101102001277 |
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