Healthcare Provider Details

I. General information

NPI: 1760715908
Provider Name (Legal Business Name): FOOD AND DRUG ADMINISTRATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2009
Last Update Date: 09/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 ROCKVILLE PIKE BG 29A, ROOM 1B17; NIH CAMPUS
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

8800 ROCKVILLE PIKE BG 29A, ROOM 1B17; NIH CAMPUS
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-827-1886
  • Fax: 301-496-1810
Mailing address:
  • Phone: 301-827-1886
  • Fax: 301-496-1810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number5845
License Number StateDC

VIII. Authorized Official

Name: MS. MICHELLE SALVETTI
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 301-827-1929