Provider Demographics
NPI:1386854446
Name:PARTNERS FOR HEALTH
Entity Type:Organization
Organization Name:PARTNERS FOR HEALTH
Other - Org Name:CENTER FOR INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-833-5055
Mailing Address - Street 1:908 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2346
Mailing Address - Country:US
Mailing Address - Phone:202-833-5055
Mailing Address - Fax:202-833-5755
Practice Address - Street 1:908 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2346
Practice Address - Country:US
Practice Address - Phone:202-833-5055
Practice Address - Fax:202-833-5755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty