Provider Demographics
NPI:1528151578
Name:POCINKI, ALAN GORDON (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:GORDON
Last Name:POCINKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7539
Mailing Address - Country:US
Mailing Address - Phone:301-762-6777
Mailing Address - Fax:301-294-6146
Practice Address - Street 1:10110 MOLECULAR DR
Practice Address - Street 2:SUITE 209
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7539
Practice Address - Country:US
Practice Address - Phone:301-762-6777
Practice Address - Fax:301-294-6146
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD18434207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCE60718Medicare UPIN
DCG02459A01Medicare PIN