| Bethesda Internal Medicine And Geriatrics, P.c. | |
|
8218 Wisconsin Ave St 103 Bethesda MD 20814-3107 | |
| (301) 215-8480 | |
| (301) 215-8401 |
| Full Name | Bethesda Internal Medicine And Geriatrics, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8218 Wisconsin Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Ava Kaufman (PRESIDENT) |
| Authorized Official Contact | 3012158480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Internal Medicine And Geriatrics, P.c. 8218 Wisconsin Ave St 103 Bethesda MD 20814-3107 Ph: (301) 215-8480 | Bethesda Internal Medicine And Geriatrics, P.c. 8218 Wisconsin Ave St 103 Bethesda MD 20814-3107 Ph: (301) 215-8480 |
| NPI Number | 1659531960 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 3274609151 |
|---|---|
| Medicare Enrollment ID | O20080828000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659531960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D26259 (Maryland) | Primary |
| Provider Name | Ava Anita Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790836138 PECOS PAC ID: 5193891075 Enrollment ID: I20080828000372 |
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