Basic Information
Provider Information
NPI: 1003957176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATANZARO
FirstName: ANDREW
MiddleName: THOMAS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7910 CARROLL AVENUE
Address2: SUITE 280
City: TAKOMA PARK
State: MD
PostalCode: 20912
CountryCode: US
TelephoneNumber: 2028916610
FaxNumber: 2023557601
Practice Location
Address1: PHOENIX CENTER AT UNITY HEALTH CARE
Address2: 1900 MASS AVE, SE
City: WASHINGTON
State: DC
PostalCode: 20003
CountryCode: US
TelephoneNumber: 2025486500
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2007
LastUpdateDate: 02/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD300619DCY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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