Provider Demographics
NPI:1881007995
Name:DIGESTIVE AND BILIARY DISEASE CONSULTANTS LLC
Entity Type:Organization
Organization Name:DIGESTIVE AND BILIARY DISEASE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAPOLEON
Authorized Official - Middle Name:CAJUCOM
Authorized Official - Last Name:MARCELO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-262-8602
Mailing Address - Street 1:4000 MITCHELLVILLE RD
Mailing Address - Street 2:STE B 430
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3104
Mailing Address - Country:US
Mailing Address - Phone:301-262-8602
Mailing Address - Fax:301-805-7784
Practice Address - Street 1:4000 MITCHELLVILLE RD
Practice Address - Street 2:STE B 430
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3104
Practice Address - Country:US
Practice Address - Phone:301-262-8602
Practice Address - Fax:301-805-7784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031345208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty