Doctor Name: | DR. VINCENT JAMES ROUX |
NPI Number: | 1497081277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD4830 |
Business Practice Address: | 9506 Clement Rd Silver Spring, MD - 209101643 |
Business Phone Number: | 3015877342 |
Business Fax Number: | 3015650542 |
Mailing Address: | 9506 Clement Rd, SILVER SPRING |
State: | MD |
Postal Code: | 209101643 |
Phone Number: | 3015877342 |
Fax Number: | 3015650542 |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 10/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD4830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |