Provider Demographics
NPI:1497525851
Name:INTERNAL MEDICINE OF WASHINGTON, LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE OF WASHINGTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-888-7204
Mailing Address - Street 1:10325 KENSINGTON PARKWAY
Mailing Address - Street 2:PO BOX 400
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-0400
Mailing Address - Country:US
Mailing Address - Phone:240-888-7204
Mailing Address - Fax:202-989-0801
Practice Address - Street 1:6400 GOLDSBORO RD STE 220
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-5849
Practice Address - Country:US
Practice Address - Phone:240-888-7204
Practice Address - Fax:202-989-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty