Healthcare Provider Details

I. General information

NPI: 1811288947
Provider Name (Legal Business Name): ION CHIOSEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2011
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NIH/CC/DTM BLDG. 10 10 CENTER DRIVE
BETHESDA MD
20892
US

IV. Provider business mailing address

NIH/CC/DTM BLDG. 10 10 CENTER DRIVE
BETHESDA MD
20892
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-8612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberD73554
License Number StateMD
# 2
Primary TaxonomyN
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: