Organization · Type 2 NPI

Ennoble HC DMV LLC

Geriatric Medicine (Family Medicine) Physician · Fulton, MD

NPI number 1104492115 Active

Practice location

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683

Mailing address

39 V St NE
Washington, DC 20002-1329

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

240 other providers at this address

About NPI 1104492115

Ennoble HC DMV LLC's National Provider Identifier is 1104492115, issued on Jun 1, 2021. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Fulton, MD. The record was last updated on Nov 26, 2025.