Provider Demographics
NPI:1316923402
Name:FOX, JULIE K (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:K
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-3667
Mailing Address - Fax:301-681-3677
Practice Address - Street 1:2101 MEDICAL PARK DR
Practice Address - Street 2:SUITE 301
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-681-3667
Practice Address - Fax:301-681-3677
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0040948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD907500300Medicaid
MD0J7KJK 52928803OtherCAREFIRST
DC9000 0001OtherCAREFIRST
MDE95511Medicare UPIN