Organization
FIFTH AVENUE INTERNAL MEDICINE, INC
Active
Organization
FIFTH AVENUE INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS PALERMO JR. DO, MBA, FACOI (OWNER)
(206) 367-1222
Entity
Organization
Contact information
Practice address
10564 5TH AVE NE STE 201, SEATTLE, WA 98125-7200
(206) 367-1222
(206) 364-2664
Mailing address
10564 5TH AVE NE STE 201, SEATTLE, WA 98125-7200
(206) 367-1222
(206) 364-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP0000836
WA
363LF0000X
Family Nurse Practitioner
AP30005722
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151558
L&I GROUP NUMBER
WA
05
—
7107840
—
WA
Enumeration date
11/01/2006
Last updated
04/16/2009
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