| Internal Medicine Physicians At Friendship Heights Llc | |
|
5530 Wisconsin Ave Suite 1445 Chevy Chase MD 20815-4404 | |
| (301) 634-1345 | |
| Not Available |
| Full Name | Internal Medicine Physicians At Friendship Heights Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5530 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | Sharon A Scanlon (PRESIDENT) |
| Authorized Official Contact | 3016341345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Physicians At Friendship Heights Llc 5530 Wisconsin Ave Suite 1445 Chevy Chase MD 20815-4404 Ph: (301) 634-1345 | Internal Medicine Physicians At Friendship Heights Llc 5530 Wisconsin Ave Suite 1445 Chevy Chase MD 20815-4404 Ph: (301) 634-1345 |
| NPI Number | 1023303807 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 5294908380 |
|---|---|
| Medicare Enrollment ID | O20111107000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023303807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD17013 (Maryland) | Primary |
| Provider Name | Lila T Mcconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952322950 PECOS PAC ID: 6507058492 Enrollment ID: I20101011000762 |
| Provider Name | Sharon A Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376557884 PECOS PAC ID: 4587856141 Enrollment ID: I20101014000537 |
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