DR. VINCENT JAMES DERISIO


Address: 103 Kent Oaks Way, Gaithersburg, MD 20878-5609
Phone: 2406329336

DR. VINCENT JAMES DERISIO (NPI# 1528370939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528370939
Entity Type Individual
Full Name DR. VINCENT JAMES DERISIO
Credential M.D.
Practice Address 103 Kent Oaks Way
Gaithersburg
MD 20878-5609
Practice Telephone 2406329336
Enumeration Date 2010-07-14
Last Update Date 2010-07-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
D0056881 MD Allopathic & Osteopathic Physicians

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NPI Name Taxonomy Address Enumeration
1427538701 Vincent Derisio Pathology 42 E Laurel Rd, Stratford, NJ 08084-1354 2018-08-16

Office Location

Street Address 103 KENT OAKS WAY
City GAITHERSBURG
State MD
Zip Code 20878-5609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841845351 Advanced Practice Wellness, LLC Nurse Practitioner Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 2019-08-02
1891253621 Patricia Jeanette Engel Speech-Language Pathologist 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 2019-03-11
1093270340 Adeola Atinuke Aremoh Specialist 652 Center Point Way, Gaithersburg, MD 20878 2019-01-31
1932606175 Agnes H. Donahue Dentist 7 Melmark Ct, Gaithersburg, MD 20878 2018-04-12
1962903864 Quince Orchard Dental Specialists LLC Dentist 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 2018-02-26
1366958654 Pcd Orthodontics, LLC Dentist 11904-d Darnestown Road, North Potomac, MD 20878 2017-12-21
1235677139 Gaithersburg Anesthesia, LLC Anesthesiology 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 2017-02-10
1356884209 Meaghan Hitt Behavioral Analyst 11333 Brandy Hall Ln, North Potomac, MD 20878 2016-11-27
1598215162 Holly Akli Lcsw-c LLC Social Worker 9711 Washingtonian Blvd, Gaithersburg, MD 20878 2016-10-07
1891243390 Darvin Joy Pharmacist 704 Quince Orchard Rd, Gaithersburg, MD 20878 2016-09-14
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801103072 John R Bacon, Md, Pa Allergy & Immunology 120 Sister Pierre Dr Ste 201, Towson, MD 21204-7525 2010-09-08
1619280849 Floyd Joseph Malveaux Allergy & Immunology 11910 Farside Rd, Ellicott City, MD 21042-1521 2010-07-16
1801081989 Maadhava Ellaurie Md PC Allergy & Immunology 3450 Fort Meade Rd Ste 103, Laurel, MD 20724-2040 2007-09-11
1265639728 Leon Kao Allergy & Immunology 19851 Observation Dr Ste 375, Germantown, MD 20876-4151 2007-06-28
1588869911 Dara L Neuman-sunshine Allergy & Immunology 10025 Governor Warfield Parkway, Suite 410, Columbia, MD 21044 2007-06-16
1760506950 Allergy & Asthma Inc Allergy & Immunology 801 Toll House Ave Bldg E, Frederick, MD 21701-4564 2007-03-16
1083624522 Ava G Joubert Allergy & Immunology 13800 Mcmullen Hwy Sw, Cumberland, MD 21502-5622 2006-08-08
1962489260 James Eric Nagel Allergy & Immunology 1309 Doves Cove Rd, Towson, MD 21286-1426 2005-12-28
1750367074 Mary E Fontana-penn Allergy & Immunology 7939 Honeygo Blvd, Suite 219, Nottingham, MD 21236-4931 2005-12-19
1750362505 Christopher Robert Martin Allergy & Immunology 8901 Rockville Picke Wrnmmc, Bethesda, MD 20889-0001 2005-11-09
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Competitor

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City GAITHERSBURG
Zip Code 20878

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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