Provider Demographics
NPI:1134285851
Name:ALAN G. POCINKI, M.D., PLLC
Entity Type:Organization
Organization Name:ALAN G. POCINKI, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:POCINKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-762-6777
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD18434207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02459Medicare PIN