Provider Demographics
NPI:1851485452
Name:VIGERSKY, ROBERT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:VIGERSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1816 SUDBURY RD., NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-829-9086
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE., ENDOCRINOLOGY SVC, AMERICA BLDG.
Practice Address - Street 2:WALTER REED NATIONAL MILITARY MEDICAL CENTER
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-295-5165
Practice Address - Fax:301-295-5170
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD 11272207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
B94311Medicare UPIN