Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D007147 | MD |
NPI | 1003881871 |
---|---|
Provider Name | Dr. Allen A. Nimetz |
First Address | Chevy Chase, MD 20815-4404 |
Second Address | Chevy Chase, MD 20815-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 27/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C61459 | (02) | DC |