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>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801158910

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
1111 20TH ST NW  WASHINGTON, DC 20526-0001 US
Tel: 202-692-1503  Fax: --

Contact information for business:
859 CEDAR DR  DEALE, MD 20751-9613 US
Tel: 443-607-6446  Fax: --

Registration Information:
NPI: 1801158910
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine

Legacy codes, insurance codes and state license numbers:



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