Healthcare Provider Details

I. General information

NPI: 1134261985
Provider Name (Legal Business Name): BILLY CATHERINO M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 JONES BRIDGE RD BLDG A ROOM 3078 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
BETHESDA MD
20814-4712
US

IV. Provider business mailing address

5001 NEBRASKA AVE NW
WASHINGTON DC
20008-2938
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-3126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberD0057657
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: