Organization · Type 2 NPI

Revitalize LLC

Internal Medicine Physician · Rockville, MD

NPI number 1417238015 Active

Practice location

15235 Shady Grove Rd, Suite 102
Rockville, MD 20850-3234

Fax (301) 330-6515

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XH67624 (MD)
Internal Medicine Physician Primary 207R00000XD0050126 (MD)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1417238015

Revitalize LLC's National Provider Identifier is 1417238015, issued on Sep 9, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Rockville, MD. The record was last updated on Oct 24, 2011.