1558527432 NPI number — BETH HOROWITZ MD PLLC

Table of content: DR. GEORGIOS D. VESSIROPOULOS DMD (NPI 1376505669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558527432 NPI number — BETH HOROWITZ MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETH HOROWITZ MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558527432
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2021 K ST NW
Provider Second Line Business Mailing Address:
SUITE 512
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20006-1003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-293-3636
Provider Business Mailing Address Fax Number:
202-293-0289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2021 K ST NW
Provider Second Line Business Practice Location Address:
SUITE 512
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20006-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-293-3636
Provider Business Practice Location Address Fax Number:
202-293-0289
Provider Enumeration Date:
07/31/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HOROWITZ
Authorized Official First Name:
BETH
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN/BUSINESS OWNER
Authorized Official Telephone Number:
202-293-3636

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 026652500 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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