Doctor Name: | DR. INES MARIA VIGIL |
NPI Number: | 1003112210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, MPH, MBA |
License Number: | D0068184 |
Business Practice Address: | 6701 Curtis Ct Glen Burnie, MD - 210606405 |
Business Phone Number: | 4438452816 |
Business Fax Number: | |
Mailing Address: | 6701 Curtis Ct, GLEN BURNIE |
State: | MD |
Postal Code: | 210606405 |
Phone Number: | 4438452816 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2011 |
NPI Last Update Date: | 02/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | D0068184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |