Healthcare Provider Details

I. General information

NPI: 1932422292
Provider Name (Legal Business Name): TIFFANY DEMARCO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WHITEHAVEN ST NW LOMBARDI COMPREHENSIVE CANCER CENTER
WASHINGTON DC
20007-2401
US

IV. Provider business mailing address

3300 WHITEHAVEN ST NW LOMBARDI COMPREHENSIVE CANCER CENTER
WASHINGTON DC
20007-2401
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-2716
  • Fax: 202-687-0305
Mailing address:
  • Phone: 202-687-2716
  • Fax: 202-687-0305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: