Basic Information
Provider Information
NPI: 1871575027
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOOLEY
FirstName: SEAN
MiddleName: NATHAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208895095
CountryCode: US
TelephoneNumber: 3012954000
FaxNumber:  
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208894501
CountryCode: US
TelephoneNumber: 3012954000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/15/2005
LastUpdateDate: 10/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XL3626TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XL3626TXN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XD88154MDN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XL3626TXN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012XL3626TXN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XD88154MDY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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