Healthcare Provider Details

I. General information

NPI: 1205097003
Provider Name (Legal Business Name): ANNE M CARPINELLI MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3912 GEORGIA AVE NW
WASHINGTON DC
20011-5861
US

IV. Provider business mailing address

3912 GEORGIA AVE NW
WASHINGTON DC
20011-5861
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-2026
  • Fax:
Mailing address:
  • Phone: 202-545-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD041809
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: