Provider Demographics
NPI:1962556092
Name:LINEHAN, WILLIAM MARSTON (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MARSTON
Last Name:LINEHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 ROCKVILLE PIKE
Mailing Address - Street 2:BLDG. 10, ROOM 1-5940
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-6353
Mailing Address - Fax:301-402-0922
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:BLDG. 10, ROOM 1-5940
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-6353
Practice Address - Fax:301-402-0922
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal