Healthcare Provider Details

I. General information

NPI: 1033282843
Provider Name (Legal Business Name): ALLEN J. SOLOMON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2222
  • Fax: 202-741-3396
Mailing address:
  • Phone: 202-741-2222
  • Fax: 202-741-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD19140
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: