Healthcare Provider Details

I. General information

NPI: 1760235790
Provider Name (Legal Business Name): GAL TZUR PELEG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 10/17/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST. NW DEPARTMENT OF INTERNAL MEDICINE, ROOM 2A-38I
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING ST. NW DEPARTMENT OF INTERNAL MEDICINE, ROOM 2A-38I
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-8271
  • Fax: 202-877-6292
Mailing address:
  • Phone: 202-877-8271
  • Fax: 202-877-6292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: