Provider Demographics
NPI:1023484060
Name:US FOOD AND DRUG ADMINISTRATION
Entity type:Organization
Organization Name:US FOOD AND DRUG ADMINISTRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEP DIRECTOR, SPECIAL MEDICAL PROG
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SORETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-402-4981
Mailing Address - Street 1:4622 NOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5345
Mailing Address - Country:US
Mailing Address - Phone:240-401-9088
Mailing Address - Fax:
Practice Address - Street 1:4622 NOTTINGHAM DR
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5345
Practice Address - Country:US
Practice Address - Phone:240-401-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043387261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care