Provider Demographics
NPI:1962489757
Name:JEMSEK SPECIALTY CLINIC
Entity Type:Organization
Organization Name:JEMSEK SPECIALTY CLINIC
Other - Org Name:JEMSEK CLINIC PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:JEMSEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-955-0003
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:704-913-3458
Mailing Address - Fax:866-457-0397
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 205
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:704-913-3458
Practice Address - Fax:866-457-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD038331207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty