Individual
PAUL ANDREW TIBBITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 I STREET NW, ROOM 1225, WASHINGTON, DC 22041
(202) 461-4419
Mailing address
5114 WICKETT TER, BETHESDA, MD 20814-5715
(301) 530-2472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11578
LA
207RC0000X
Cardiovascular Disease Physician
11578
LA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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