Healthcare Provider Details

I. General information

NPI: 1932398005
Provider Name (Legal Business Name): DRS NYIRJESY & BILLINGSLEY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 WESTBARD CIR STE 5
BETHESDA MD
20816-1465
US

IV. Provider business mailing address

5301 WESTBARD CIR STE 5
BETHESDA MD
20816-1465
US

V. Phone/Fax

Practice location:
  • Phone: 301-654-0445
  • Fax: 301-907-9764
Mailing address:
  • Phone: 301-654-0445
  • Fax: 301-907-9764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA HEDGEPETH
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-654-0445