Healthcare Provider Details

I. General information

NPI: 1316923402
Provider Name (Legal Business Name): JULIE K. FOX M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR SUITE 301
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

2101 MEDICAL PARK DR SUITE 301
SILVER SPRING MD
20902-4053
US

V. Phone/Fax

Practice location:
  • Phone: 301-681-3667
  • Fax: 301-681-3677
Mailing address:
  • Phone: 301-681-3667
  • Fax: 301-681-3677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0040948
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: