Provider Demographics
NPI:1871675579
Name:VERDUN, AUBREY VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:VINCENT
Last Name:VERDUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 BROOKLAWN TER
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3934
Mailing Address - Country:US
Mailing Address - Phone:773-398-6440
Mailing Address - Fax:301-238-7918
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 602
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3820
Practice Address - Country:US
Practice Address - Phone:773-398-6440
Practice Address - Fax:301-238-7918
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08539300207L00000X
PAMD430073207L00000X
IL036115215207L00000X
MDD66729207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology