1487904967 NPI number — DR. CLAUDIA MORRISSEY CONLON M.D.

Table of content: DR. CLAUDIA MORRISSEY CONLON M.D. (NPI 1487904967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487904967 NPI number — DR. CLAUDIA MORRISSEY CONLON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONLON
Provider First Name:
CLAUDIA
Provider Middle Name:
MORRISSEY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORRISSEY
Provider Other First Name:
CLAUDIA
Provider Other Middle Name:
SUSAN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487904967
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3513 RODMAN STREET NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-661-6336
Provider Business Mailing Address Fax Number:
202-640-6950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 L STREET NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-640-6633
Provider Business Practice Location Address Fax Number:
202-640-6950
Provider Enumeration Date:
09/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  036070402 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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