Provider Demographics
NPI:1720049539
Name:DENOBILE, JOHN W (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:DENOBILE
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:NNMC DEPARTMENT OF GENERAL SURGERY
Mailing Address - Street 2:8901 WISCONSIN AVE.
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-4435
Mailing Address - Fax:301-295-0959
Practice Address - Street 1:NNMC DEPARTMENT OF GENERAL SURGERY
Practice Address - Street 2:8901 WISCONSIN AVE.
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4435
Practice Address - Fax:301-295-0959
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD14812208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery