Provider Demographics
NPI:1750450599
Name:ZUBOWICZ, VINCENT N (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:N
Last Name:ZUBOWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3200 DOWNWOOD CIRCLE NW SUITE 640
Mailing Address - Street 2:EMORY AESTHETIC CENTER / DR VINCENT ZUBOWICZ
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:404-778-6880
Mailing Address - Fax:404-814-0015
Practice Address - Street 1:365 EAST PACES FERRY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305
Practice Address - Country:US
Practice Address - Phone:404-814-1100
Practice Address - Fax:404-814-0015
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0189802086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00266659Medicaid
GA00266659Medicaid