Basic Information
Provider Information
NPI: 1235450412
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEW
FirstName: DAWN
MiddleName: MICHELE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1150 VARNUM ST NE
Address2: DEPARTMENT OF INTERNAL MEDICINE
City: WASHINGTON
State: DC
PostalCode: 200172104
CountryCode: US
TelephoneNumber: 2022697000
FaxNumber:  
Practice Location
Address1: 1150 VARNUM ST NE
Address2: DEPARTMENT OF INTERNAL MEDICINE
City: WASHINGTON
State: DC
PostalCode: 200172104
CountryCode: US
TelephoneNumber: 2022697000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2010
LastUpdateDate: 07/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD040530DCY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMD040530DCN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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