Provider Demographics
NPI:1346360138
Name:FOXHALL OB GYN ASSOC PC
Entity Type:Organization
Organization Name:FOXHALL OB GYN ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:K
Authorized Official - Last Name:CIRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-243-3500
Mailing Address - Street 1:5215 LOUGHBORO RD NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2618
Mailing Address - Country:US
Mailing Address - Phone:202-243-3500
Mailing Address - Fax:202-966-8441
Practice Address - Street 1:5215 LOUGHBORO RD NW
Practice Address - Street 2:SUITE 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2618
Practice Address - Country:US
Practice Address - Phone:202-243-3500
Practice Address - Fax:202-966-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2014-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC526060OtherNCPPO
DC6137OtherCAREFIRST BCBS
DC526060OtherNCPPO