Provider Demographics
NPI:1417049446
Name:DIGIOIA, RICHARD ADOLPH (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ADOLPH
Last Name:DIGIOIA
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 1:2112 F ST NW
Mailing Address - Street 2:SUITE 603
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-331-1042
Mailing Address - Fax:202-872-5629
Practice Address - Street 1:2112 F ST NW
Practice Address - Street 2:SUITE 603
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-331-1042
Practice Address - Fax:202-872-5629
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD8033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
178501Medicare ID - Type Unspecified
C62375Medicare UPIN