Provider Demographics
NPI:1932235991
Name:GREATER WASHINGTON MATERNAL FETAL MEDICINE AND GENETICS
Entity type:Organization
Organization Name:GREATER WASHINGTON MATERNAL FETAL MEDICINE AND GENETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:PINCKERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-279-6355
Mailing Address - Street 1:9707 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3348
Mailing Address - Country:US
Mailing Address - Phone:310-279-6355
Mailing Address - Fax:240-499-3279
Practice Address - Street 1:9707 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 230
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3348
Practice Address - Country:US
Practice Address - Phone:310-279-6355
Practice Address - Fax:240-499-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center