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NPI Code Detail

MEDICARE: REBEKAH CONROY MD

MEDICARE: REBEKAH CONROY MD
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
1208000000XPediatrics Physician0101241790VA
2208000000XPediatrics PhysicianMD038275DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639173313
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH CONROY MD
Provider Business Mailing Address
First Line : 111 MICHIGAN AVE NW
Second Line : SUITE 4800
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number :
Fax Number : 202-476-3732
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line : SUITE 4800
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5014
Fax Number : 202-476-3732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/21/2013

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Directions to “ REBEKAH CONROY MD” Practice Location

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