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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