Jordan    Polistico    MD
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1497273502
Tax ID
363966745
Effective Date
8/15/2023
Last Updated
8/18/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Multiplier
Location Details
Address
1102 Monroe Street Southwest
Huntsville, AL 35801
United States
Phone
256-469-7200 (Phone)
Billing Details
Address
1102 Monroe Street Southwest
Huntsville, AL 35801
Billing Phone
256-469-7200
Specialty Type
Internal Medicine
Map
Address