Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 28900098 | CA |
NPI | 1023117090 |
---|---|
Provider Name | Dr. John Edwin Atwood |
First Address | Bethesda, MD 20815-6366 |
Second Address | Bethesda, MD 20889-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 14/06/2019 |