| D.c. Medicine And Allergy, Pllc | |
|
1140 19th St Nw Suite 500 Washington DC 20036-6601 | |
| (202) 728-9630 | |
| (202) 296-0528 |
| Full Name | D.c. Medicine And Allergy, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1140 19th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Robert Stewart Enelow (PRESIDENT) |
| Authorized Official Contact | 2027289630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D.c. Medicine And Allergy, Pllc 1140 19th St Nw Suite 500 Washington DC 20036-6601 Ph: (202) 728-9630 | D.c. Medicine And Allergy, Pllc 1140 19th St Nw Suite 500 Washington DC 20036-6601 Ph: (202) 728-9630 |
| NPI Number | 1093021586 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/23/2010 |
| Medicare PECOS PAC ID | 6709065741 |
|---|---|
| Medicare Enrollment ID | O20110124000852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093021586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD16498 (District Of Columbia) | Primary |
| Provider Name | Robert S Enelow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336151349 PECOS PAC ID: 5597944538 Enrollment ID: I20110124001113 |
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