Vickie Fang O.D.

NPI 1083878417 - Optometrist - 152W00000X

NPI Details
NPI 1083878417
Gender Female
Enumeration Date 07/15/2008
Last Updated 07/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
880 RUSSELL AVE
GAITHERSBURG MD, 20879-3506, US
Phone (301) 556-1973
Fax (301) 556-1968
Business Location
880 RUSSELL AVE
GAITHERSBURG MD, 20879-3506, US
Phone (301) 556-1973
Fax (301) 556-1968
Toxanomy
Taxonomy Code 152W00000X
License State Maryland
License Number DA1359
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According to our database, Dr. Vickie Fang O.D. NPI is 1083878417, taxonomy code is 152W00000X and license number is DA1359, license state is located at Maryland. Vickie Fang O.D. physically located at 880 Russell Ave, Gaithersburg MD, 20879-3506. NPI Number Vickie Fang O.D. has the Individual type.

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1083878417 NPI number is provided on an as is basis without warranty of any kind. 1083878417 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Fang O.D. are for informational purposes only.