Healthcare Provider Details

I. General information

NPI: 1780650903
Provider Name (Legal Business Name): ROBERT JON NEVIASER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW 7TH FLOOR
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW 7TH FLOOR
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3301
  • Fax: 202-741-3313
Mailing address:
  • Phone: 202-741-3301
  • Fax: 202-741-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD3872
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: