MEDICARE: MEDICAL FACULTY ASSOCIATES, INC.

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1598764508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL FACULTY ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2150 PENNSYLVANIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3201
Country	:	US
Telephone Number	:	202-741-3398
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 PENNSYLVANIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3201
Country	:	US
Telephone Number	:	202-741-3398
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	STEPHEN BADGER
Credential	:
Telephone Number	:	202-741-3397

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/22/2020

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