Provider Demographics
NPI:1861674749
Name:CATALANOTTI, JILLIAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:CATALANOTTI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW STE 2-105
Mailing Address - Street 2:MEDICAL FACULTY ASSOCIATES OF GEORGE WASHINGTON UNIVERS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2222
Mailing Address - Fax:202-741-2185
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW STE 2-105
Practice Address - Street 2:MEDICAL FACULTY ASSOCIATES OF GEORGE WASHINGTON UNIVERS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2222
Practice Address - Fax:202-741-2185
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD037239207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine