Vaccarezza, Stephen
Vaccarezza, Stephen is an individual health care provider with primary practice located at 6240 Montrose Rd , Rockville MD 20852-4119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vaccarezza, Stephen can be contacted via phone (301) 231-7111.Contact Information
Primary practice address
6240 Montrose Rd
Rockville MD 20852-4119
Phone: (301) 231-7111
Fax: (301) 231-9040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D35103 | Maryland |
Profile Details
| NPI number | 1861488314 |
|---|---|
| LBN Legal business name | Vaccarezza, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 31st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861488314 | NPPES |
| Maryland | Other | 8535 | BCBS OF NCA |
| Maryland | MEDICAID | 282111700 | BCBS OF NCA |
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