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NPI Code Detail

MEDICARE: PETER MCEVOY

MEDICARE: PETER MCEVOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZM0300XMedical Microbiology Physician0101239005VA
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101239005VA

General Provider Information

NPI Number : 1134103237
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER MCEVOY
Provider Business Mailing Address
First Line : 2936 CORTLAND PL NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20008-3429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6825 16TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20306-0003
Country : US
Telephone Number : 202-782-1827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 09/12/2008

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Directions to “ PETER MCEVOY ” Practice Location

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