MEDICARE: ALFRED MUNZER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	D12582	MD

General Provider Information

NPI Number	:	1144224593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFRED MUNZER M.D.

Provider Business Mailing Address
First Line	:	2939 VAN NESS ST NW
Second Line	:	APT 902
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4642
Country	:	US
Telephone Number	:	301-891-5450
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 CARROLL AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6367
Country	:	US
Telephone Number	:	301-891-5450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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