MEDICARE: DR. ROBERT PAUL FIELDS M.D.

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
1	207R00000X	Internal Medicine Physician	D0034740	MD

General Provider Information

NPI Number	:	1578563292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT PAUL FIELDS M.D.

Provider Business Mailing Address
First Line	:	18109 PRINCE PHILIP DR STE 200
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1524
Country	:	US
Telephone Number	:	301-774-7115
Fax Number	:	301-570-6662

Provider Business Practice Location Address
First Line	:	18109 PRINCE PHILIP DR
Second Line	:	SUITE 200
City	:	OLNEY
State	:	MD
Zip	:	20832-1519
Country	:	US
Telephone Number	:	301-774-7115
Fax Number	:	301-570-6662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/26/2010

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