Basic Information
Provider Information
NPI: 1568666360
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVITZ
FirstName: JULIA
MiddleName: ARCHAMBAULT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20211 WATERSIDE DR
Address2:  
City: GERMANTOWN
State: MD
PostalCode: 208743739
CountryCode: US
TelephoneNumber: 3016753434
FaxNumber:  
Practice Location
Address1: NNMC
Address2: 8901 ROCKVILLE PIKE
City: BETHESDA
State: MD
PostalCode: 208895600
CountryCode: US
TelephoneNumber: 3013198278
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/14/2007
LastUpdateDate: 11/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101245485VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RA0201X0101245485VAY Allopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology

No ID Information.


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