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NPI Code Detail

MEDICARE: MEDSTAR MEDICAL GROUP II LLC

MEDICARE: MEDSTAR MEDICAL GROUP II LLC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1750883427
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSTAR MEDICAL GROUP II LLC
Provider Business Mailing Address
First Line : 3007 TILDEN ST NW STE 5N
Second Line :
City : WASHINGTON
State : DC
Zip : 20008-3030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 IRVING ST NW STE 5000
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2981
Country : US
Telephone Number : 202-877-6000
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : STEPHANIE SCHNEIDER
Credential :
Telephone Number : 703-558-1403
Provider Enumeration Date : 03/08/2018
Last Update Date : 09/02/2025

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