Healthcare Provider Details

I. General information

NPI: 1245869510
Provider Name (Legal Business Name): ADAM ZACHARY TILLOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ADAM ZACHARY HOROWITZ

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE GW MEDICAL FACULTY ASSOCIATES 2150 PENNSYLVANIA AVE
WASHINGTON DC
20037
US

IV. Provider business mailing address

PO BOX 202230
DALLAS TX
75320-2230
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3000
  • Fax:
Mailing address:
  • Phone: 401-421-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD21210
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: