Vicinanzo, Matthew Gerard

Vicinanzo, Matthew Gerard is an individual health care provider with primary practice located at 1000 19Th St S , Birmingham AL 35205-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Vicinanzo, Matthew Gerard can be contacted via phone (205) 930-0700.

Contact Information

Primary practice address
1000 19Th St S Birmingham AL 35205-4804
Phone: (205) 930-0700
Fax: (205) 930-9127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 25771 Alabama

Profile Details

NPI number 1740283266
LBN Legal business name Vicinanzo, Matthew Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Apr 4th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740283266 NPPES
Alabama MEDICAID 051520716

Popular Providers