MEDICARE: DENNIS VINIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	C05510	MD

General Provider Information

NPI Number	:	1912275926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS VINIAS

Provider Business Mailing Address
First Line	:	41 MAGNA WAY
Second Line	:	SUITE # 100
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-3073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 MAGNA WAY
Second Line	:	SUITE # 100
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-3073
Country	:	US
Telephone Number	:	410-876-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2011
Last Update Date	:	03/09/2022

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Directions to “ DENNIS VINIAS ” Practice Location

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