Healthcare Provider Details

I. General information

NPI: 1225116502
Provider Name (Legal Business Name): PETER IVES WARFIELD MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 MASSACHUSETTS AVE NW STE 200
WASHINGTON DC
20016-2004
US

IV. Provider business mailing address

4850 MASSACHUSETTS AVE NW STE 200
WASHINGTON DC
20016-2004
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-5000
  • Fax: 202-966-3830
Mailing address:
  • Phone: 202-966-5000
  • Fax: 202-966-3830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD035986
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: