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REVOLUTION MEDICINE HEALTH & FITNESS PLLC NPI 1245887959


NPI Information

NPI: 1245887959
Provider Name: REVOLUTION MEDICINE HEALTH & FITNESS PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
ZIP 20036
Phone: (202) 596-8891
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REVOLUTION MEDICINE HEALTH & FITNESS PLLC is a family medicine in Washington, DC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REVOLUTION MEDICINE HEALTH & FITNESS PLLC NPI is 1245887959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
ZIP 20036-304
Phone: (202) 596-8891
Fax: (304) 245-6029

The provider's authorized official is Michael L Glickman .
The authorized official title is Physician and has the following contact phone number (202) 596-8891.

The enumeration date for this NPI number is 8/19/2019 and was last updated on 12/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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