Provider Demographics
NPI:1124006804
Name:FAURE, JEAN-PIERRE MARCEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-PIERRE
Middle Name:MARCEL
Last Name:FAURE
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 1:8218 WISCONSIN AVE
Mailing Address - Street 2:SUITE P-9
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3107
Mailing Address - Country:US
Mailing Address - Phone:301-656-0128
Mailing Address - Fax:301-460-6039
Practice Address - Street 1:8218 WISCONSIN AVE
Practice Address - Street 2:STE P 9
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3107
Practice Address - Country:US
Practice Address - Phone:301-656-0128
Practice Address - Fax:301-656-3429
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD-30791207Q00000X
DCMD14403207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
144236Medicare ID - Type Unspecified
C87908Medicare UPIN